Module 14 enteral tube feeding test spring 2023 verified
correctly
Which of the following patients may benefit from enteral nutrition?
A patient who has a brain injury
A patient with oral cancer
A patient with burns of the lower extremities
Patients with brain injury or an altered or reduced level of consciousness and patients
with neuromuscular diseases who have a high incidence of aspiration may benefit from
long-term enteral therapy. Patients with head or neck cancer may be candidates for
enteral nutrition. A patient with paralytic ileus has a nonfunctional GI tract, and enteral
nutrition is inappropriate. Some patients have an increased metabolism as a result of
sepsis or burns and are unable to ingest enough calories to meet their bodies' metabolic
needs. These patients may also benefit from enteral nutrition.
A group of nursing students are studying together. They are discussing the differences
between parenteral and enteral nutrition. Which statement, if made by one of the
students, indicates further instruction is needed?
"Parenteral nutrition is the administration of nutrients directly into the GI tract by way of
a feeding tube."
Enteral nutrition is the administration of nutrients directly into the GI tract by way of a
feeding tube. Parenteral nutrition is a form of specialized nutrition support in which
nutrients are provided intravenously.
Match the correct image of the type of feeding tube to the patient situation.
(feeding bag, pump)
Short-term management of an acute illness (e.g., sepsis)
(gastronomy tube)
Long-term therapy because of cerebral vascular accident and impaired swallowing
jejunostomy tube
High risk of aspiration because of a neuromuscular disorder
feeding tube
Simultaneous gastric decompression and intestinal feeding needed
...
An NG tube is inserted into the stomach to provide nutritional support during an acute
illness such as sepsis. A gastrostomy tube is surgically placed for long-term nutritional
therapy. A jejunostomy tube is surgically placed in the jejunum of the small intestine and
is preferred when there is a high risk of aspiration. A combination tube can provide
simultaneous gastric decompression and intestinal feeding for patients with impaired
gastric emptying or upper GI cancers.
, Which of the following accurately describes the greatest risk related to having a feeding
tube?
Although the risk of aspiration is lessened with a jejunal feeding tube, once a feeding
tube is placed, all patients remain at risk for aspiration and need careful nursing
management to avoid this complication.
Enteral feedings may be administered by: (Select all that apply.)
Continuous feeding pump
Intermittent gravity drip
Large-bore syringe (bolus)
Enteral feedings may be administered continuously using a feeding pump, intermittently
by gravity drip, or by bolus through a large-bore syringe. Enteral feedings should never
be administered intravenously. Parenteral nutrition is administered through a large vein
as with a central vascular access device.
The health care provider has ordered an enteral feeding tube for an elderly patient.
Which statement if made by the patient's family member indicates further instruction is
needed?
"The tube feedings are used to improve digestion."
Enteral feedings will not improve digestion. Enteral feedings are used with patients who
have adequate digestion and absorption, but cannot ingest, chew, or swallow food
safely or in adequate amounts. Advantages of enteral feedings over parenteral feedings
are that they are less expensive, maintain functioning of the gut and are less likely to
cause infection.
Closes off glottis and reduces risk of tube entering trachea.
Have patient flex head toward chest after tube has passed through nasopharynx
Ensures tube patency and aids in guide wire or stylet insertion.
Inject 10 mL of water from 30-mL or larger syringe into the feeding tube
Determines approximate depth of insertion.
Measure distance from tip of nose to earlobe to xyphoid process of sternum and mark
tube with tape or indelible ink
Activates lubricant to facilitate passage of tube into GI tract.
Dip tube with surface lubricant into a glass of water
Facilitates passage of tube past oropharynx; rotation decreases friction.
Have patient mouth breathe and swallow. Give small sips of water or ice chips when
possible. Advance tube as patient swallows. Rotate tube 180 degrees while inserting
...
Determine the length of tube to be inserted and mark with tape or indelible ink
(measuring the distance from the tip of the nose to the earlobe to the xyphoid process
determines the approximate depth of insertion). Inject 10 mL of water from 30-mL or
larger syringe into the tube to aid the guide wire or stylet insertion. Dip the tube with
surface lubricant into a glass of water. Doing so activates the lubricant to facilitate
passage of the tube into the naris to the GI tract. Have the patient flex the head toward
the chest after the tube has passed through the nasopharynx. This closes off the glottis
and reduces the risk of the tube entering the trachea. Have the patient mouth breathe
and swallow. Give small sips of water or ice chips when possible. Advance the tube as
correctly
Which of the following patients may benefit from enteral nutrition?
A patient who has a brain injury
A patient with oral cancer
A patient with burns of the lower extremities
Patients with brain injury or an altered or reduced level of consciousness and patients
with neuromuscular diseases who have a high incidence of aspiration may benefit from
long-term enteral therapy. Patients with head or neck cancer may be candidates for
enteral nutrition. A patient with paralytic ileus has a nonfunctional GI tract, and enteral
nutrition is inappropriate. Some patients have an increased metabolism as a result of
sepsis or burns and are unable to ingest enough calories to meet their bodies' metabolic
needs. These patients may also benefit from enteral nutrition.
A group of nursing students are studying together. They are discussing the differences
between parenteral and enteral nutrition. Which statement, if made by one of the
students, indicates further instruction is needed?
"Parenteral nutrition is the administration of nutrients directly into the GI tract by way of
a feeding tube."
Enteral nutrition is the administration of nutrients directly into the GI tract by way of a
feeding tube. Parenteral nutrition is a form of specialized nutrition support in which
nutrients are provided intravenously.
Match the correct image of the type of feeding tube to the patient situation.
(feeding bag, pump)
Short-term management of an acute illness (e.g., sepsis)
(gastronomy tube)
Long-term therapy because of cerebral vascular accident and impaired swallowing
jejunostomy tube
High risk of aspiration because of a neuromuscular disorder
feeding tube
Simultaneous gastric decompression and intestinal feeding needed
...
An NG tube is inserted into the stomach to provide nutritional support during an acute
illness such as sepsis. A gastrostomy tube is surgically placed for long-term nutritional
therapy. A jejunostomy tube is surgically placed in the jejunum of the small intestine and
is preferred when there is a high risk of aspiration. A combination tube can provide
simultaneous gastric decompression and intestinal feeding for patients with impaired
gastric emptying or upper GI cancers.
, Which of the following accurately describes the greatest risk related to having a feeding
tube?
Although the risk of aspiration is lessened with a jejunal feeding tube, once a feeding
tube is placed, all patients remain at risk for aspiration and need careful nursing
management to avoid this complication.
Enteral feedings may be administered by: (Select all that apply.)
Continuous feeding pump
Intermittent gravity drip
Large-bore syringe (bolus)
Enteral feedings may be administered continuously using a feeding pump, intermittently
by gravity drip, or by bolus through a large-bore syringe. Enteral feedings should never
be administered intravenously. Parenteral nutrition is administered through a large vein
as with a central vascular access device.
The health care provider has ordered an enteral feeding tube for an elderly patient.
Which statement if made by the patient's family member indicates further instruction is
needed?
"The tube feedings are used to improve digestion."
Enteral feedings will not improve digestion. Enteral feedings are used with patients who
have adequate digestion and absorption, but cannot ingest, chew, or swallow food
safely or in adequate amounts. Advantages of enteral feedings over parenteral feedings
are that they are less expensive, maintain functioning of the gut and are less likely to
cause infection.
Closes off glottis and reduces risk of tube entering trachea.
Have patient flex head toward chest after tube has passed through nasopharynx
Ensures tube patency and aids in guide wire or stylet insertion.
Inject 10 mL of water from 30-mL or larger syringe into the feeding tube
Determines approximate depth of insertion.
Measure distance from tip of nose to earlobe to xyphoid process of sternum and mark
tube with tape or indelible ink
Activates lubricant to facilitate passage of tube into GI tract.
Dip tube with surface lubricant into a glass of water
Facilitates passage of tube past oropharynx; rotation decreases friction.
Have patient mouth breathe and swallow. Give small sips of water or ice chips when
possible. Advance tube as patient swallows. Rotate tube 180 degrees while inserting
...
Determine the length of tube to be inserted and mark with tape or indelible ink
(measuring the distance from the tip of the nose to the earlobe to the xyphoid process
determines the approximate depth of insertion). Inject 10 mL of water from 30-mL or
larger syringe into the tube to aid the guide wire or stylet insertion. Dip the tube with
surface lubricant into a glass of water. Doing so activates the lubricant to facilitate
passage of the tube into the naris to the GI tract. Have the patient flex the head toward
the chest after the tube has passed through the nasopharynx. This closes off the glottis
and reduces the risk of the tube entering the trachea. Have the patient mouth breathe
and swallow. Give small sips of water or ice chips when possible. Advance the tube as
