update} QUESTIONS AND ANSWERS 100%
CORRECT - GCU
When are is central line feeding usually given . . - correct answer to a client who is
NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped? . . - correct answer start and stop
SLOW and GRADUALLY
Patients receiving TPN are at high risk for . . - correct answer hyper or hypoglycemia
How often should TPN tubing be changed? . . - correct answer every 24 hours
What should the nurse do if the TPN bag is almost empty, but the next bag is not ready..
. . - correct answer Hang 10% dextrose water (to help avoid hypoglycemia)
,Nursing care for TPN . . - correct answer -daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
Signs of hyperglycemia . . - correct answer Polydipsia, polyuria, polyphagia, nausea,
HA, abdominal pain
Enteral feeding . . - correct answer Nutrients supplied to the gastrointestinal tract
orally or by feeding tube (NGT, PEG, G-Tube)
Complications of enteral feeding . . - correct answer -tube displacement
-clogged tubes
-aspiration
-abdominal distention
,Refeeding syndrome . . - correct answer happens within 24-48 hours of starting
enteral or parenteral nutrition; giving too much nutrition in a short amount of time
Refeeding Syndrome S/S . . - correct answer 24-48hrs of therapy d/t fluid shifts:
bradypnea, lethargy, confusion, weakness
How to avoid refeeding syndrome . . - correct answer give GRADUALLY
Increase calories SLOWLY
Gastritis . . - correct answer inflammation/irritation of the lining of the stomach
GERD . . - correct answer esophageal irritation by stomach acid that travels into the
esophagus
, If GERD is not treated what can it lead to... . . - correct answer barretts esophagus
Peptic Ulcer Disease . . - correct answer open sores/ulcers in the lining of stomach
or small intestine
Gastric vs duodenal ulcers . . - correct answer Gastric = ulcer in the stomach;
Duodenal = ulcer in the small intestine
S/S of GERD . . - correct answer -dyspepsia "heartburn"
Diet considerationf for GERD and PUD . . - correct answer -avoid eating fried and fatty
foods, citrus, dairy, chocolate, peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine