NSG 320: Exam 3
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1. total perenteral nutrition (TPN) entire nutrition is inside an IV bag and goes right
into the blood
2. what line is TPN given through given CENTRAL LINE! not peripheral IV
3. when are is central line feeding usually to a client who is NPO (patients with pancreatitis
given and crohns)
4. How should TPN be administered and start and stop SLOW and GRADUALLY
stopped?
5. patients receiving TPN are at high risk hyper or hypoglycemia
for
6. how often should TPN tubing be every 24 hours
changed?
7. what should the nurse do if the TPN Hang 10% dextrose water (to help avoid hypo-
bag is almost empty, but the next bag glycemia)
is not ready..
8. nursing care for TPN -daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
9. signs of hyperglycemia Polydipsia, polyuria, polyphagia, nausea, HA,
abdominal pain
10. enteral feeding Nutrients supplied to the gastrointestinal tract
orally or by feeding tube (NGT, PEG, G-Tube)
11. Complications of enteral feeding -tube displacement
-clogged tubes
4/16/2026, 4:58:38 PM 4/16/2026,:58:36 PM 4/16/2026, 4:58:34 PM
, [NSG 320 Exam 3]
NSG 320: Exam 3
Study online at https://quizlet.com/_9jd2mr
-aspiration
-abdominal distention
12. Refeeding syndrome happens within 24-48 hours of starting enteral
or parenteral nutrition; giving too much nutrition
in a short amount of time
13. Refeeding Syndrome S/S 24-48hrs of therapy d/t fluid shifts: bradypnea,
lethargy, confusion, weakness
14. how to avoid refeeding syndrome give GRADUALLY
increase calories SLOWLY
15. gastritis inflammation/irritation of the lining of the stom-
ach
16. GERD esophageal irritation by stomach acid that travels
into the esophagus
17. if GERD is not treated what can it lead barretts esophagus
to...
18. Peptic Ulcer Disease open sores/ulcers in the lining of stomach or
small intestine
19. gastric vs duodenal ulcers Gastric = ulcer in the stomach; Duodenal = ulcer
in the small intestine
20. S/S of GERD -dyspepsia "heartburn"
21. diet considerationf for GERD and PUD -avoid eating fried and fatty foods, citrus, dairy,
chocolate, peppermint/spearmint, caffeine (cof-
fee)
-avoid spicy food
4/16/2026, 4:58:38 PM 4/16/2026,:58:36 PM 4/16/2026, 4:58:34 PM
, [NSG 320 Exam 3]
NSG 320: Exam 3
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-no alcohol
-no caffeine
-no cigarettes
22. education for GERD -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)
23. common treatment for GERD -antacids
-H2 blockers
-PPIs
24. antacid administration teaching always take 1 hour before or after other medica-
tions, NEVER TOGETHER
25. when should H2 blockers and PPIs be take 30 minutes before meals
taken?
26. what diagnostic assessment is done to upper GI endoscopy
determine the function of the LES
27. if an ulcer is suspected, what diagnosis esophagogastroduodenoscopy
assessment is done
28. signs of peritonitis -fever >100.3
-rebound tenderness
-rigid or board like abdomen
-increase pain and tenderness
-restlessness
-increase HR and RR
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