NU 311 exam 4 ENTERAL FEEDING Spring 2023
Answered
Which of the following patients may benefit from enteral nutrition?
A. A patient who has a brain injury.
B. A patient with oral cancer.
C. A patient with paralytic ileus.
D. A patient with burns of the lower extremities.
E. A patient who had a CVA (stroke) and has dysphagia (difficulty swallowing).
A. A patient who has a brain injury. Correct
B. A patient with oral cancer. Correct
D. A patient with burns of the lower extremities. Correct
E. A patient who had a CVA (stroke) and has dysphagia (difficulty swallowing).
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?
A. Parenteral nutrition is the administration of nutrients directly into the GI tract by way
of a feeding tube." Correct
B. "Enteral nutrition is preferred because it is less expensive than parenteral nutrition
and maintains functioning of the gut."
C. "An example of the parenteral route is subcutaneous or IM injections, or the IV
route." Incorrect
D. "Gastric feedings may be given to patients with a low risk of aspiration. If there is a
risk of aspiration, jejunal feeding is the preferred method. Parenteral nutrition is
provided if the patient's GI tract is nonfunctional."
A. Parenteral nutrition is the administration of nutrients directly into the GI tract by way
of a feeding tube." Correct
Which of the following accurately describes the greatest risk related to having a feeding
tube?
A.Electrolyte imbalance.
B. Fluid volume overload.
C. Infection.
D. Aspiration.
D. Aspiration.
Enteral feedings may be administered by: (Select all that apply.)
A. Continuous feeding pump. Correct
B. Through a large vein.
C. Intermittent gravity drip. Correct
D. Through a central vascular access device.
E. Intravenously.
A. Continuous feeding pump.
C. Intermittent gravity drip.
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?
, A. "The enteral feedings will help provide additional calories."
B. "The tube feedings are used to improve digestion."
C. "This will help prevent her from getting pneumonia again from choking."
Incorrect D. "Tube feedings are less likely to cause infection than getting nutrients by IV
infusion."
B. "The tube feedings are used to improve digestion."
What 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
What activates lubricant to facilitate passage of tube into GI tract?
Dip tube with surface lubricant into a glass of water
What 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
What closes off glottis and reduces risk of tube entering trachea?
Have patient flex head toward chest after tube has passed through nasopharynx
What 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
The nurse is inserting an NG feeding tube for the first time. Which action, if made by the
nurse, indicates further instruction is needed?
A. The nurse dips the end of the tube into a glass of water to activate the lubricant.
B. The nurse has the patient flex the head as the tube is inserted into the naris.
C. The nurse aims back and down toward the ear.
D. The nurse advances the tube as the patient swallows.
B. The nurse has the patient flex the head as the tube is inserted into the naris.
You have inserted an NG feeding tube. The patient vomited during insertion and
continues to gag. What action(s) should you take? (Select all that apply.)
A. Suction airway as needed.
B. Place patient in high-Fowler's position.
C. Position patient on side.
D. Contact health care provider for possible chest x-ray.
E. Have patient sip ice water.
A. Suction airway as needed. Correct
C. Position patient on side. Correct
D. Contact health care provider for possible chest x-ray. Correct
The health care provider just left the patient's room after explaining the options of NG or
NI feeding tube placement. A student asks a nurse about the differences between
nasogastric and nasointestinal feedings. Which of the following are accurate statements
made by the nurse? (Select all that apply.)
A. Insertion of an NG tube requires clean gloves, whereas insertion of an NI tube
requires sterile gloves.
B. Gastric aspirate is expected to have a lower pH than intestinal aspirate.
C. The advantage to an NI tube is that there is less risk for aspiration.
D. NI tubes are used for patients with nasal problems such as nosebleeds or deviated
Answered
Which of the following patients may benefit from enteral nutrition?
A. A patient who has a brain injury.
B. A patient with oral cancer.
C. A patient with paralytic ileus.
D. A patient with burns of the lower extremities.
E. A patient who had a CVA (stroke) and has dysphagia (difficulty swallowing).
A. A patient who has a brain injury. Correct
B. A patient with oral cancer. Correct
D. A patient with burns of the lower extremities. Correct
E. A patient who had a CVA (stroke) and has dysphagia (difficulty swallowing).
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?
A. Parenteral nutrition is the administration of nutrients directly into the GI tract by way
of a feeding tube." Correct
B. "Enteral nutrition is preferred because it is less expensive than parenteral nutrition
and maintains functioning of the gut."
C. "An example of the parenteral route is subcutaneous or IM injections, or the IV
route." Incorrect
D. "Gastric feedings may be given to patients with a low risk of aspiration. If there is a
risk of aspiration, jejunal feeding is the preferred method. Parenteral nutrition is
provided if the patient's GI tract is nonfunctional."
A. Parenteral nutrition is the administration of nutrients directly into the GI tract by way
of a feeding tube." Correct
Which of the following accurately describes the greatest risk related to having a feeding
tube?
A.Electrolyte imbalance.
B. Fluid volume overload.
C. Infection.
D. Aspiration.
D. Aspiration.
Enteral feedings may be administered by: (Select all that apply.)
A. Continuous feeding pump. Correct
B. Through a large vein.
C. Intermittent gravity drip. Correct
D. Through a central vascular access device.
E. Intravenously.
A. Continuous feeding pump.
C. Intermittent gravity drip.
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?
, A. "The enteral feedings will help provide additional calories."
B. "The tube feedings are used to improve digestion."
C. "This will help prevent her from getting pneumonia again from choking."
Incorrect D. "Tube feedings are less likely to cause infection than getting nutrients by IV
infusion."
B. "The tube feedings are used to improve digestion."
What 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
What activates lubricant to facilitate passage of tube into GI tract?
Dip tube with surface lubricant into a glass of water
What 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
What closes off glottis and reduces risk of tube entering trachea?
Have patient flex head toward chest after tube has passed through nasopharynx
What 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
The nurse is inserting an NG feeding tube for the first time. Which action, if made by the
nurse, indicates further instruction is needed?
A. The nurse dips the end of the tube into a glass of water to activate the lubricant.
B. The nurse has the patient flex the head as the tube is inserted into the naris.
C. The nurse aims back and down toward the ear.
D. The nurse advances the tube as the patient swallows.
B. The nurse has the patient flex the head as the tube is inserted into the naris.
You have inserted an NG feeding tube. The patient vomited during insertion and
continues to gag. What action(s) should you take? (Select all that apply.)
A. Suction airway as needed.
B. Place patient in high-Fowler's position.
C. Position patient on side.
D. Contact health care provider for possible chest x-ray.
E. Have patient sip ice water.
A. Suction airway as needed. Correct
C. Position patient on side. Correct
D. Contact health care provider for possible chest x-ray. Correct
The health care provider just left the patient's room after explaining the options of NG or
NI feeding tube placement. A student asks a nurse about the differences between
nasogastric and nasointestinal feedings. Which of the following are accurate statements
made by the nurse? (Select all that apply.)
A. Insertion of an NG tube requires clean gloves, whereas insertion of an NI tube
requires sterile gloves.
B. Gastric aspirate is expected to have a lower pH than intestinal aspirate.
C. The advantage to an NI tube is that there is less risk for aspiration.
D. NI tubes are used for patients with nasal problems such as nosebleeds or deviated
