Tube feeding and total parenteral nutrition nursing considerations and complication recognition tested on NCLEX-RN.
33 cards · basic cards · AI-written, checked twice. Edit anything.
- What imaging method confirms correct initial placement of a newly inserted NG tube before first use?
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X-ray- A gastric aspirate pH below what level suggests the feeding tube tip is in the stomach?
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pH less than 5- Why is the auscultation (air bolus/whoosh) method alone not reliable to confirm feeding tube placement?
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The sound can seem similar even if the tube is misplaced in the lung or esophagus- What head-of-bed elevation is recommended during enteral tube feeding?
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30 to 45 degrees- After an intermittent tube feeding ends, how long should the head of bed stay elevated?
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At least 30 to 60 minutes- Why does a nurse check gastric residual volume before an intermittent tube feeding?
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To assess for delayed gastric emptying and aspiration risk- What should the nurse do if gastric residual volume exceeds the facility's threshold before feeding?
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Hold the feeding and notify the provider- What is an early sign of aspiration during tube feeding?
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Coughing or choking- Why should a feeding tube be flushed with water before and after feedings or medications?
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To keep the tube patent and prevent clogging- Why should liquid medications be diluted before giving them through a feeding tube?
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To prevent tube clogging and reduce risk of osmotic diarrhea- What is the main difference between an NG tube and a PEG tube?
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NG tube is for short-term feeding; PEG tube is for long-term feeding- What is dumping syndrome?
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Rapid emptying of hyperosmolar formula from the stomach into the small intestine- What are classic symptoms of dumping syndrome?
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Cramping, nausea, diarrhea, tachycardia, and diaphoresis after feeding- What nursing intervention helps prevent dumping syndrome?
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Slow the feeding rate or switch to continuous feeding- What is a common preventable cause of diarrhea in a tube-fed patient?
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Bacterial contamination of the formula or feeding equipment
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