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Week 7 NCO
Week 7 NCO Verifying Feeding Tube Placement
| Question | Answer |
|---|---|
| The patient is to have his feeding tube irrigated. The patient asks why this is necessary. The nurse would be correct to state which of the following? (Select all that apply.) | 1. “Sometimes crushed medications can block the tube; doing this helps keep it open.” 2. “Irrigating your feeding tube keeps it open for your feeding to be administered easily.” |
| A nurse is assessing a patient before irrigating a nasogastric tube and initiating enteral feeding. Which of the following, if noted, would be cause for concern? (Select all that apply.) | 1. Absent bowel sounds 2. Coffee ground appearance of gastric aspirate. |
| The nurse is gathering supplies to perform irrigation of a feeding tube. The nurse has a stethoscope and the patient has a towel. What other supplies are needed to perform the procedure? (Select all that apply.) | 1. Clean gloves 2. tap water or sterile water 3. 60 mL ENFit syringe |
| The nurse is irrigating a patient’s feeding tube and is unable to instill the fluid. What is an appropriate nursing action? | Turn the patient onto left side and reattempt irrigation. |
| The nurse documented in the patient’s medical record that the feeding tube was patent. This is reflected by the ability to easily instill fluid during tube irrigation. | True : Tube patency means that it is open and flushes easily when fluid is instilled. |
| A nurse is caring for a patient with a nasogastric feeding tube who is receiving a continuous enteral feeding. The nurse informs the patient the feeding will be stopped temporarily so water can be instilled through the feeding tube. The patient asks, “Why | “Flushing the tubing with water helps keep it from becoming clogged.” |
| A nurse is reviewing the policy for irrigating a feeding tube. What information should the nurse include that would address accurate principles of infection control when performing this procedure? (Select all that apply.) | 1. Change irrigation bottle every 24 hours. 2.. Perform hand hygiene and apply clean gloves to irrigate a feedin 3. Tap water should not be used for feeding tube irrigation with 4. Sterile water may be required for patients who are critically ill. |
| A nurse is telling a coworker that she is unable to flush a feeding tube. Which suggestion offered by the coworker would be accurate, useful information? | "Reposition the patient and see if you are able to flush the tubing with water." |
| A nursing instructor is reviewing the skill of irrigating a feeding tube with a group of nursing students. Which statement(s), if made by the nursing student, is(are) accurate, indicating learning has occurred? (Select all that apply.) | 1."Bowel sounds should be present if the patient is receiving tube feedings." 2."The patient should be placed in the high Fowler's or semi-Fowler's position for feeding tube irrigation." 3. "Curdled enteral formula and improperly crushed medications ar |
| The nurse is going to irrigate a nasogastric feeding tube. The nurse would be correct to draw up how much water into the ENFit syringe? | 30 mL |
| The nurse is irrigating a nasogastric feeding tube after having verified tube placement by pH testing. The nurse draws up 30 mL of tap water into an ENFit syringe, removes the plug at the end of the tube, attaches the ENFit syringe, and slowly instills th | The nurse failed to kink the tubing before connecting and removing the syringe from the end of the feeding tube. |
| The nurse understands that irrigating a feeding tube helps prevent it from becoming clogged and clears the tubing of fluid. At what times is it appropriate to flush a feeding tube? (Select all that apply.) | 1. After medication administration 2. Before medication administration 3. Between medications 4. Before an intermittent feeding |
Created by:
Brandi Sizemore
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