NUR 2090 EXAM 3 REVIEW QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Bolus feeding
hang bag above stomach
clamp tubing
fill bag with formula
prime tubing, reclamp tube
attach to tube & open clamp
adjust flow
flush tube with water
disconnect
Continuous Feeding
administration of formula for 10-24 hours daily, using a pump to control the feeding rate
What to do prior to using NG tube?
Confirm placement with an x-ray & RESIDUAL pH
Assessing Eating Pattern
1) 24 hour recall (may vary from day to day)
2) Food diary ( 3 days to 1 week) more accurate/ preferred.
Who's responsible for purchasing food?
Withholding Food
NPO
,Special hospital diets
Liquid: can have clear liquids in a full-liquid diet
Soft: transition from a liquid diet to a regular diet or patients with GI issues
Dysphagia diet: thickened
Diet as tolerated:
Restrictive Diet: diabetic, cardiac, low salt, etc
Using nutritional supplements
Parenteral Nutrition (covered in IV)
Low residue diet: good for diarrhea
Dysphagia diet solids
- Pureed 4th
- Mechanically Soft 3rd
- Advanced 2nd
- Regular 1st
Dysphagia diet liquids
- Spoon-think (pudding like)
- Honey-like (drizzle slowly)
- Nectar-like (thicker than thin liquids)
- Thin (water/ apple juice)
Regular diet
No restrictions
used to maintain or achieve the highest level of nutrition in patients who do not have
special needs related to illness or injury
, Diet as tolerated:
Progress diet according to assessment-use your judgement
Macronutrients: Carbohydrates
Simple (mono & disaccharides)
Complex (polysaccharides)
Essential source of energy and fiber
Protein-sparing action
Hyperglycemia & hypoglycemia
Sources:
- Simple: sugars, syrups, molasses, honey, fruit, milk.
- Complex: bread, cereal, potatoes, rice, pasta, crackers, flour products, and legumes
Micronutrients: Vitamins
Function: needed for metabolism, essential for growth, development, & body
functions
Classifications and sources:
Fat soluble:
Vitamin A, D, E, K
Excessive intake of Vit A and D can result in toxicity
Water soluble:
B-complex, C
Order of abdomen assessment
Inspect, Auscultate, Percuss, Palpate
Order of Percussion & Auscultation of the Abdomen
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Bolus feeding
hang bag above stomach
clamp tubing
fill bag with formula
prime tubing, reclamp tube
attach to tube & open clamp
adjust flow
flush tube with water
disconnect
Continuous Feeding
administration of formula for 10-24 hours daily, using a pump to control the feeding rate
What to do prior to using NG tube?
Confirm placement with an x-ray & RESIDUAL pH
Assessing Eating Pattern
1) 24 hour recall (may vary from day to day)
2) Food diary ( 3 days to 1 week) more accurate/ preferred.
Who's responsible for purchasing food?
Withholding Food
NPO
,Special hospital diets
Liquid: can have clear liquids in a full-liquid diet
Soft: transition from a liquid diet to a regular diet or patients with GI issues
Dysphagia diet: thickened
Diet as tolerated:
Restrictive Diet: diabetic, cardiac, low salt, etc
Using nutritional supplements
Parenteral Nutrition (covered in IV)
Low residue diet: good for diarrhea
Dysphagia diet solids
- Pureed 4th
- Mechanically Soft 3rd
- Advanced 2nd
- Regular 1st
Dysphagia diet liquids
- Spoon-think (pudding like)
- Honey-like (drizzle slowly)
- Nectar-like (thicker than thin liquids)
- Thin (water/ apple juice)
Regular diet
No restrictions
used to maintain or achieve the highest level of nutrition in patients who do not have
special needs related to illness or injury
, Diet as tolerated:
Progress diet according to assessment-use your judgement
Macronutrients: Carbohydrates
Simple (mono & disaccharides)
Complex (polysaccharides)
Essential source of energy and fiber
Protein-sparing action
Hyperglycemia & hypoglycemia
Sources:
- Simple: sugars, syrups, molasses, honey, fruit, milk.
- Complex: bread, cereal, potatoes, rice, pasta, crackers, flour products, and legumes
Micronutrients: Vitamins
Function: needed for metabolism, essential for growth, development, & body
functions
Classifications and sources:
Fat soluble:
Vitamin A, D, E, K
Excessive intake of Vit A and D can result in toxicity
Water soluble:
B-complex, C
Order of abdomen assessment
Inspect, Auscultate, Percuss, Palpate
Order of Percussion & Auscultation of the Abdomen
