Review terms and
definitions Focus your studying with a path Get faster at matching terms c. Refeeding syndrome is
occurring. c.
Loose stools, abdominal cramps, and nausea b,
c, d, e Sets with similar termsMonitor blood glucose levels. Monitor the patient for changes in temperature. Monitor intake and output. Patients receiving TPN are at risk for hyperglycemia; glucose should be monitored. The nurse should monitor for temperature changes, as fever could indicate infection. Intake and output should be monitored, as the patient could experience a fluid volume deficit or excess. The rate of the infusion should not be accelerated, as this may lead to complications in the patient's condition. The pharmacy will determine if the solution requires protection from light; most nutritional solutions do not require such precautions. TPN preparations should be refrigerated and administered within 24 h. The nurse is determining a patient's gastric residual before administering an enteral feeding; the last feeding was 240 mL. The patient will be discharged on enteral feedings. It is important to include in the teaching plan that a residual of more than which amount would indicate delayed gastric emptying (based on last feeding)? c. 150 mL The
nurse is assisting a patient with self-administration of an enteral feeding. It is important to include in the teaching plan that the feeding should be administered at which temp? d. Room temp The nurse is reviewing the plan of care for a patient receiving enteral therapy. What is the most common complication of enteral therapy? c. Diarrhea Which is appropriate nursing care for a patient receiving total parenteral nutrition (TPN) in an acute care setting? (Select all) a. Monitor blood glucose levels A patient has been on TPN for 1 month, and there is an order to discontinue TPN tomorrow. The nurse contacts the provider because sudden interruption of TPN therapy may cause which condition? d. Hypoglycemia A patient is receiving TPN at home. The visiting nurse assists the family with the care plan, which includes changing the TPN solution and tubing. What is the recommended initial frequency for changing the tubing? a. Every 24 hours The nurse is reviewing the care plan with a patient using enteral nutrition. Which interventions by the nurse are appropriate for this strategy? (Select all) a. Check the continuous route for gastric residual every 2-4 hours The nurse is to administer enteral meds to a patient who cannot swallow and is receiving continuous enteral feedings. Which is correct concerning administration of the enteral
meds? b. Liquid meds are diluted, given as a bolus, and followed with water The nurse is caring for a patient receiving total
parenteral nutrition (TPN). Which interventions will the nurse include in the patient's plan of care? a, c, e *Patients receiving TPN are at risk for hyperglycemia; glucose should be monitored. The nurse should monitor for temperature changes, as fever could indicate infection. Intake and output should be monitored, as the patient could experience a fluid volume deficit or excess. The rate of the infusion should not be accelerated, as this may lead to complications in the patient's condition. The pharmacy will determine if the solution requires protection from light; most nutritional solutions do not require such precautions. TPN preparations should be refrigerated and administered within 24 h. The patient undergoing catheter placement for total parenteral nutrition experiences coughing, shortness of breath, chest pain, and cyanosis. Which complication does the nurse suspect the patient is experiencing? b. Air embolism *Coughing, shortness of breath, chest pain, cyanosis, hypotension, apprehension are symptoms of air embolism. The patient is receiving enteral feedings through a gastrostomy tube at a rate of 100 mL/h. The nurse assesses residual volume as 80 mL. What is the nurse's primary intervention? d. Stop the feeding for 1 h and reassess. *The residual volume should not be greater than 50% of the hourly rate. This indicates that the feeding is not absorbing. The feeding should be stopped for an hour, and then the residual volume should be reassessed. The nurse identifies that the patient has been ordered Peptamen Liquid. The nurse recognizes that Peptamen Liquid is an example of which type
of commercial enteral feeding preparation? d. Elemental The nurse would be correct in identifying which outcome as the most serious complication of tube feedings? c. Aspiration pneumonia *Aspiration pneumonitis is one of the most serious and potentially life-threatening complications of tube feedings. Bowel perforation is a complication of placement, not feeding. Dehydration and diarrhea are expected side effects. The health care provider has indicated that the patient requires an elemental commercial enteral feeding preparation. The nurse anticipates that the provider will order which preparation? a. Criticare HN *Criticare HN is classified as an elemental commercial enteral feeding preparation. Ultracal, Osmolite, and Resource are polymeric preparations. The nurse finds that the patient's enteral feeding is infusing at 150 mL/h instead of the ordered rate of 50 mL/h. What is the nurse's highest priority initial action? c. Stop the infusion and check the patient *Although all of the actions should be completed at some point, the highest priority is the patient's safety. Thus, the infusion should be stopped, the patient's condition assessed, and the rate then clarified. The nurse identifies that the patient has been ordered
Ultracal. The nurse recognizes that Ultracal is an example of which type of commercial enteral feeding preparation? b. Polymeric The health care provider has written an order for the patient to receive a milk-based commercial enteral feeding preparation. The nurse anticipates that the provider will order which preparation? b. Boost *Boost is a milk-based preparation. Criticare HN and Vivonex are elemental preparations; Microlipid is a modular preparation. The patient is receiving a bolus feeding through a gastrostomy tube and develops diarrhea. What is a priority nursing intervention? a. Slow the bolus feedings *Diarrhea can be caused by rapid administration of feeding, high caloric solutions, malnutrition, gastrointestinal bacteria, and drugs. Diarrhea can usually be managed or corrected by decreasing the feeding flow rate, and as diarrhea lessens, the feeding flow rate can be gradually increased. The patient
receiving enteral feedings has poor skin turgor, and urinary output is 40 mL/h. What is the nurse's first intervention? a. Assess fluid intake *Dehydration can occur if the patient does not receive a sufficient amount of fluid with or between feedings. Key Term: Bolus The first method used to deliver enteral feedings, by which 250-400 mL of solution is rapidly administered through a syringe into the tube 4-6 times a day Key Term: Continuous feedings Feedings prescribed for the critically ill and for those who receive feedings into the small intestine Key Term: Cyclic method A type of continuous feeding infused over 8-16 hours daily (day or night) Key Term: Enteral nutrition (EN) Delivery of nutrition or fluid via a tube into the GI tract, which requires a functional, accessible GI tract Key Term: Gastrointestinal tubes Small in diameter, made of urethan or silicone, and are flexible and long. They are radiopaque, which makes their position easy to identify by X-ray Key Term: Gastrostomy tube A GI tube used for enteral tube feedings Key Term: Hyperalimentation (HA) A form of malnutrition in which the intake of nutrients is oversupplied Key Term: Intermittent enteral feedings Feedings administered every 3-6 hours over 30-60 min by gravity drip or infusion pump Key Term: Intermittent infusion Considered an inexpensive method for administering enteral nutrition Key Term: Jejunostomy routes Tube passed through stoma directly into jejunum. Key Term: Jejunostomy tube A GI route used for enteral tube feedings Key Term: Nasoduodenal/Nasojejunal GI routes used for enteral tube feedings Key Term: Nutritional support Includes oral feedings, EN, and PN. Provides nutrients to patients who are critically ill.
Key Term: Parenteral nutrition (PN) Administration of nutrients by a route other than the GI tract; also called TPN Key Term: Percutaneous endoscopic gastrostomy (PEG) tube A tube placed surgically, endoscopically, or radiologically for the purpose of delivering nutrition; requires an intact GI system Key Term: Total parenteral nutrition (TPN) The administration of nutrients by a route other than the GI tract; also called parenteral nutrition Key Term: Valsalva maneuver A method to prevent air embolism during dressing and tubing changes in which patients are asked to turn their head in the opposite direction of the insertion site, take a deep breath, hold it, and bear down For what complication should a nurse monitor in a patient on total parenteral nutrition TPN )? Quizlet?The nurse will carefully monitor this patient for which symptom(s)? TPN with IV therapy is prone to air embolism. Symptoms of air embolism are coughing and dyspnea. Decreased breath sounds occur with aspiration, which is a complication of nasogastric feedings.
Which complications would the nurse monitor for in a patient receiving total parenteral nutrition TPN?Infection: Infection is probably the most commonly occurring complication associated with total parenteral nutrition.
Which should the nurse monitor to prevent complications of a patient receiving TPN?A patient on TPN must have blood work monitored closely to prevent the complications of refeeding syndrome. Blood work may be ordered as often as every six hours upon initiation of TPN.
What are the possible complications in patients receiving TPN?Possible complications associated with TPN include:. Dehydration and electrolyte Imbalances.. Thrombosis (blood clots). Hyperglycemia (high blood sugars). Hypoglycemia (low blood sugars). Infection.. Liver Failure.. Micronutrient deficiencies (vitamin and minerals). |
Which complications would the nurse monitor for in a patient receiving total parenteral nutrition TPN )? Quizlet?
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