Inquire through: | Professional | Confidential Support
NSG 320: Exam 3 Verified and Updated
Questions and Answers (100% Correct
Answers)
total perenteral nutrition (TPN)
Answer: entire nutrition is inside an IV bag and goes right into the blood through
CENTRAL LINE. Usually given to a client who is NPO (patients with pancreatitis and
crohns). HIGH RISK for hyper or hypoglycemia. Hang 10% dextrose to avoid
hypoglycemia when bag is almost empty.
what line is TPN given through
Answer: given CENTRAL LINE! not peripheral IV
when are is central line feeding usually given
Answer: to a client who is NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped?
Answer: start and stop SLOW and GRADUALLY
patients receiving TPN are at high risk for
Answer: hyper or hypoglycemia
how often should TPN tubing be changed?
Answer: every 24 hours
what should the nurse do if the TPN bag is almost empty, but the next bag is not
ready..
Answer: Hang 10% dextrose water (to help avoid hypoglycemia)
nursing care for TPN
Answer: -daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia
Answer: Polydipsia, polyuria, polyphagia, nausea, HA, abdominal pain
,Inquire through: | Professional | Confidential Support
enteral feeding
Answer: Nutrients supplied to the gastrointestinal tract orally or by feeding tube
(NGT, PEG, G-Tube)
Complications of enteral feeding
Answer: -tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome
Answer: happens within 24-48 hours of starting enteral or parenteral nutrition;
giving too much nutrition in a short amount of time. S/S: bradypnea, lethargy,
confusion, weakness
Refeeding Syndrome S/S
Answer: 24-48hrs of therapy d/t fluid shifts: bradypnea, lethargy, confusion,
weakness
how to avoid refeeding syndrome
Answer: give GRADUALLY
increase calories SLOWLY
gastritis
Answer: inflammation/irritation of the lining of the stomach
GERD
Answer: esophageal irritation by stomach acid that travels into the esophagus. S/S:
dyspepsia "heartburn" PT Teaching: Do NOT lay down after eating, and keep HOB
elevated on bed with blocks or pillows. If left untreated can leads to Barretts
Esophagus.
if GERD is not treated what can it lead to...
Answer: barretts esophagus
Peptic Ulcer Disease
Answer: Open sores/ulcers in the lining of stomach or small intestine caused by
H.Pylori infection and chronic NSAID use.
, Inquire through: | Professional | Confidential Support
Complications to monitor for are perforation/peritonitis characterized by rigid,
board-like abdomen and rebound tenderness
gastric vs duodenal ulcers
Answer: Gastric = ulcer in the stomach; Duodenal = ulcer in the small intestine
S/S of GERD
Answer: -dyspepsia "heartburn"
diet considerationf for GERD and PUD
Answer: -avoid eating fried and fatty foods, citrus, dairy, chocolate,
peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
education for GERD
Answer: -no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours before bedtime)
common treatment for GERD
Answer: -antacids
-H2 blockers
-PPIs
antacid administration teaching
Answer: always take 1 hour before or after other medications, NEVER TOGETHER
NSG 320: Exam 3 Verified and Updated
Questions and Answers (100% Correct
Answers)
total perenteral nutrition (TPN)
Answer: entire nutrition is inside an IV bag and goes right into the blood through
CENTRAL LINE. Usually given to a client who is NPO (patients with pancreatitis and
crohns). HIGH RISK for hyper or hypoglycemia. Hang 10% dextrose to avoid
hypoglycemia when bag is almost empty.
what line is TPN given through
Answer: given CENTRAL LINE! not peripheral IV
when are is central line feeding usually given
Answer: to a client who is NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped?
Answer: start and stop SLOW and GRADUALLY
patients receiving TPN are at high risk for
Answer: hyper or hypoglycemia
how often should TPN tubing be changed?
Answer: every 24 hours
what should the nurse do if the TPN bag is almost empty, but the next bag is not
ready..
Answer: Hang 10% dextrose water (to help avoid hypoglycemia)
nursing care for TPN
Answer: -daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
signs of hyperglycemia
Answer: Polydipsia, polyuria, polyphagia, nausea, HA, abdominal pain
,Inquire through: | Professional | Confidential Support
enteral feeding
Answer: Nutrients supplied to the gastrointestinal tract orally or by feeding tube
(NGT, PEG, G-Tube)
Complications of enteral feeding
Answer: -tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome
Answer: happens within 24-48 hours of starting enteral or parenteral nutrition;
giving too much nutrition in a short amount of time. S/S: bradypnea, lethargy,
confusion, weakness
Refeeding Syndrome S/S
Answer: 24-48hrs of therapy d/t fluid shifts: bradypnea, lethargy, confusion,
weakness
how to avoid refeeding syndrome
Answer: give GRADUALLY
increase calories SLOWLY
gastritis
Answer: inflammation/irritation of the lining of the stomach
GERD
Answer: esophageal irritation by stomach acid that travels into the esophagus. S/S:
dyspepsia "heartburn" PT Teaching: Do NOT lay down after eating, and keep HOB
elevated on bed with blocks or pillows. If left untreated can leads to Barretts
Esophagus.
if GERD is not treated what can it lead to...
Answer: barretts esophagus
Peptic Ulcer Disease
Answer: Open sores/ulcers in the lining of stomach or small intestine caused by
H.Pylori infection and chronic NSAID use.
, Inquire through: | Professional | Confidential Support
Complications to monitor for are perforation/peritonitis characterized by rigid,
board-like abdomen and rebound tenderness
gastric vs duodenal ulcers
Answer: Gastric = ulcer in the stomach; Duodenal = ulcer in the small intestine
S/S of GERD
Answer: -dyspepsia "heartburn"
diet considerationf for GERD and PUD
Answer: -avoid eating fried and fatty foods, citrus, dairy, chocolate,
peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
education for GERD
Answer: -no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours before bedtime)
common treatment for GERD
Answer: -antacids
-H2 blockers
-PPIs
antacid administration teaching
Answer: always take 1 hour before or after other medications, NEVER TOGETHER
