NUR 1172 GI Intubation and Special Nutrition Modalities QUESTIONS WITH ANSWERS

NUR 1172 GI Intubation and Special Nutrition
|\ |\ |\ |\ |\ |\




Modalities QUESTIONS WITH ANSWERS
|\ |\ |\ |\




GI Intubation - CORRECT ANSWERS ✔✔Insertion of a flexible tube
|\ |\ |\ |\ |\ |\ |\ |\ |\


into the stomach, beyond the pylorus into the duodenum or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


jejunum. Inserted by: orally, nasally, and thru the abdominal wall.
|\ |\ |\ |\ |\ |\ |\ |\ |\




Purpose of the GI Intubation - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\


✔✔Decompression of stomach by removing gas and fluid, lavage |\ |\ |\ |\ |\ |\ |\ |\ |\


stomach by remove ingested toxins. Diagnosis of GI motility
|\ |\ |\ |\ |\ |\ |\ |\ |\


disorders, administer meds and feedings, treat obstructions, and
|\ |\ |\ |\ |\ |\ |\ |\


aspirate gastric contents for analysis.
|\ |\ |\ |\




Different Tube Types - CORRECT ANSWERS ✔✔Orogastric tubes
|\ |\ |\ |\ |\ |\ |\ |\


and NG tubes are used for nasoenteric feeding tubes (dobhoff or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


enteraflo) and gastrostomy and jejunostomy.
|\ |\ |\ |\




Nursing Management of NG Tube Placement - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Explain the purpose of the tube the procedure for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


insertion. Insertion of NG tube length by nose to earlobe to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


xiphoid process, and 6-10cm beyond that length. Describe the
|\ |\ |\ |\ |\ |\ |\ |\ |\


sensations to be expected during tube insertion.
|\ |\ |\ |\ |\ |\




Nursing Management is to Confirm NG Placement - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔X-Ray, Measure of External Tube Length, and Visual
|\ |\ |\ |\ |\ |\ |\ |\ |\


assessment of Aspirate. |\ |\

, Gastric - CORRECT ANSWERS ✔✔Cloudy and green, tan or off-
|\ |\ |\ |\ |\ |\ |\ |\ |\


white, brown, coffee grounds. Pleural fluid such as pale, yellow,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


clear or serous. Tracheal is tan or off-white. Air auscultation is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


unreliable and is no longer recommended. |\ |\ |\ |\ |\




Nursing Management of NG Tube in General - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Monitor the pt and maintain tube function by attach
|\ |\ |\ |\ |\ |\ |\ |\ |\


to suction for decompression and keep accurate record of all
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


fluid intake, feedings, and irrigation. Provide oral and nasal
|\ |\ |\ |\ |\ |\ |\ |\ |\


hygiene and care and monitor for complications such as fluid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


volume deficit, pulmonary, tube-related irritations, metabolic
|\ |\ |\ |\ |\ |\


alkalosis.


Nursing Management for NG Tube Removal - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Check for provider order, bowel sounds (if used for |\ |\ |\ |\ |\ |\ |\ |\ |\


decompression then clamp prior to ensure pt doesn't have |\ |\ |\ |\ |\ |\ |\ |\ |\


nausea) and flush with 10mL of air prior to removal.
|\ |\ |\ |\ |\ |\ |\ |\ |\




Enteral Feeding - CORRECT ANSWERS ✔✔Meet nutritional
|\ |\ |\ |\ |\ |\ |\


requirements when oral intake is inadequate or not possible and |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


middle and lower portion of GI tract function normally and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


nutritional requirements administered through the stomach, |\ |\ |\ |\ |\ |\


duodenum, or proximal jejunum. |\ |\ |\




Enteral Feeding Advantages - CORRECT ANSWERS ✔✔Lower cost
|\ |\ |\ |\ |\ |\ |\ |\


compared to parenteral nutrition, safe and well tolerated, easy to
|\ |\ |\ |\ |\ |\ |\ |\ |\


use, preserve GI integrity, normal sequence of intestinal and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


hepatic metabolism, maintain fat metabolism and lipoprotein
|\ |\ |\ |\ |\ |\ |\


synthesis, maintain normal insulin/glucagon ratios, and if feeding
|\ |\ |\ |\ |\ |\ |\ |\


> 4 weeks, gastrostomy or jejunostomy tubes preferred.
|\ |\ |\ |\ |\ |\ |\