Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

CH 38 M IV

CH 38 Digestive - Tube feedings

QuestionAnswer
Tube feedings: What position should pt. be in? Why? How long after feeding? Fowlers; prevent aspiration; 30 mins
Tube feedings: What is the most critical assessment? confirmation of placement
Tube feedings: What is the most reliable way to confirm placement. radiograph
Tube feedings: confirming placement of a tube is required before or after feedings? before
Tube feedings: which type tube (small or large) does not require confirmation of placement? large bore tube
Tube feedings: Name three reliable tests to confirm placement. Observation of aspirated material, assessment of pH
Tube feedings: stomach contents are-name 4 characteristics grassy green, clear and colorless, or brown
Tube feedings: what is the pH of stomach secretions? five or less
Tube feedings: intestinal pH is normally what? Six or higher
Tube feedings: what are for methods that lacks scientific support for confirming placement? stethoscope over the abdomen while injecting air, placing tube in the water to see bubbles, patient's ability to speak, and I was surfing for respiratory symptoms
Tube feedings: when patient has continuous feedings, placement is usually checked how many times at least once every shift
Tube feedings: why is residual monitored? Prevent overfilling of the stomach
Tube feedings: Formula remaining in the stomach from a previous feeding residual
Tube feedings: how do you check for residual? syringe to aspirate/withdraw and measure
Tube feedings: after measuring, what do you do w/ the residual? returned through the tube to prevent loss of electrolytes
Tube feedings: name the five rights for feeding right formula, right amount, right dilution, right schedule, right pt.
Tube feedings: initial tube feedings are diluted to what strength? one half or one fourth strength
Tube feedings: If a pt. can tolerate the feeding, do you give the highest concentration? no, concentration is gradually increased
Tube feedings:what appropriate action should the nurse do if the patient has nausea or pain? Notify physician, stop the feeding
Tube feedings: Rinse the tube by flushing at least how many mLs of water? 30 mL
Tube feedings: if diarrhea occurs, what can you request from the physician? request decreasing the concentration or the rate of delivery or both for the formula.
Tube feedings: what may occur with rapid feedings of concentrated formula? Dumping syndrome
signs and symptoms of dumping syndrome cold sweat, abdominal distention, dizziness, weakness, rapid pulse rate, nausea, diarrhea
name the steps for feeding with a syringe. Removed plunger from the barrel of the syringe,attached a barrel to the feeding tube, kink the tube to prevent air while pouring formula, hold barrel 12 inches above stomach, allow gravity
Tube feedings: how many inches should the barrel be held above the stomach? Why is this done? 12 inches; allows gravity to put formula down tube
Tube feedings: if using infusion pump to deliver feeding, what should the nurse due to reduce the amount the air forced into the digestive tract? fill tube w/ formula before connecting it to the feeding tube
Continuous feeding: How many hours worth of formula is given? Why can't you give more? no more than 6 hours worth; prevent contamination
What is the usual amount per hour given in a continuous feeding? 80-150 ml
Bolus feedings are given when? specified intervals
Bolus feedings are how many mLs over how long 30-40mLs over 30 to 45 mins
Tube feedings: what should be changed every 24hrs? tubing and bag
Created by: Jgar2007
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards