Homework, Module 9
Oral/Nasogastric, Gastrostomy, Jejunostomy, and PEG
(worth 115 points)
1. Define aspiration.
2. Describe normal gastric fluid.
3. Using the residual stomach contents method, when would a tube feeding typically be withheld?
4. Define these 3 types of enteral feeding. (worth 3 points)
a. Bolus method
b. Intermittent or continuous drip
c. Pump method
5. When a feeding is hung, what is the maximum time that it may infuse at room temperate before it needs to be discarded?
6. List 2 things that are routinely done to avoid the growth of pathogens in a continuously infusing administration set?
7. How many calories does the typical tube feeding deliver?
8. When a resident is receiving a tube-feeding, what position should he/she be in?
9. When preparing to give a resident a tube feeding stored in a can, list 3 steps to assure the safety of the feeding. (worth 3 points)
10. You have been assigned to care for Mr. Morales. He has bolus TF q 4 hrs. of 360 ml. of Jevity. He also drinks fluids po as tolerated. What is your responsibility in charting his I&O?
11. What type of diagnostic study might be ordered for a resident who could be aspirating?
12. Describe the steps for removing a nasogastric tube. (worth 5 points)
13. When removing an NG tube, how is the patient positioned?
14. An open container of tube feeding formula should be stored in the _____________and should be discarded after ____________. (worth 2 points).
15. When a resident is receiving continuous tube feeding, what is the longest that formula should hang?
16. How often should the administration set and tubing of an open, continuous TF infusion be changed?
17. When a closed system is used for TF, how often and when should it be changed?
18. What is the definition of enteral?
19. What is the purpose of keeping the HOB elevated anytime a resident is eating or having enteral feedings?
20. Describe the steps for cleaning a gastrostomy tube site. (worth 5 points)
21. How often is a G-tube dressing typically changed?
22. Of course if a patient has diarrhea, you will immediately inform the nurse. List 8 causes that the nurse might consider as she/he is making the nursing assessment. (worth 8 points)
23. List 7 ways that a gastrostomy tube might become blocked. (worth 7 points).
24. List the 6 nutrients that are essential to maintain health AND a quick description of what each does for the human body. (worth 12 points)
25. Define Dehydration.
26. What are typical pH’s of the following body fluids (worth 3 points)
a. Stomach contents
b. intestinal contents
c. respiratory contents
27. List 7 reasons for inserting a feeding tube. (worth 7 points)
28. Define the following types of tubes. List their abbreviated names AND a description of each. (worth 8 points)
a. Nasogastric tube
b. Gastrostomy tube
c. Jejunostomy tube
d. Percutaneous Endoscopic Gastrostomy tube
29. When an enteral feeding pump alarms, what should you do? (worth 3 points)
30. What is a calorie?
31. According to our slides, what is the one nutrient that we sense a need for?
32. List 6 minerals needed in the daily diet. (worth 6 points)
33. List 6 signs of good nutrition. (worth 6 points)
34. What does TPN stand for and what does it do? (worth 2 points)
35. List 4 strategies that an NA2 might use to help a patient who is suffering with N&V (Nausea and Vomiting). (worth 4 points)
36. Define Projectile vomiting and describe your first action is one of your patients has it. (worth 2 points)
37. List 5 ways to assist a resident who is having trouble with belching (burping). (worth 5 points)
38. List 2 methods to assist a patient who is suffering with flatus (gas) which do not require a physician’s order. (worth 2 points)
39. What equipment is needed to check for NG tube placement by using the auscultating air method?
40. If there is a disk holding a PEG tube in place, where is the dressing placed?
41. How many calories does a typical patient who is getting all nutrition from TF need?
42. If a TF delivers 1 calorie/ milliliter and the TF runs 24 hours a day, what rate is needed for the patient to receive 1800 calories per day?