A nurse is caring for a client who has a nasogastric tube and is receiving intermittent feedings. What should the nurse use to determine that the NG is in correct placement? Select al that apply 1. A client who has undergone gastric surgery has a nasogastric (NG) tube connected to low intermittent suction that is not draining properly. Which pH finding would indicate to the nurse that the tube is in the stomach?, The nurse is caring for a client receiving enteral nutrition with a standard polymeric formula. 400 mL of formula 2. which of the following interventions should the nurse recommend? - encourage the client to go to the dining room at meal times to talk with other clients - suggest that the client watch television while feedings are being administered Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving bolus feedings via a nasogastric (NG) tube. It is typically used for decompression of the stomach for clients with an intestinal obstruction or ileus or for administration of nutrition or medication to clients The client has just returned to the unit to begin supplemental tube feedings through a gastrostomy tube. Which of the following actions should the nurse take to prevent this from occurring?, A nurse is caring for a client receiving tube feedings and medication. 2. Stop tube feedings for 1 hour after medication before testing the pH of the gastric fluid. Here are the key objectives and charting requirements for monitoring an NG tube: Steps in Monitoring a Nasogastric Tube. This action facilitates proper insertion of the tube by achieving which of the following? a. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has developed irritation to his feeding tube in the past. positive nitrogen balance. Which of the following findings indicates that the tube has become occluded? A. Verify tube placement prior to A nurse is caring for a client who is prescribed total parenteral nutrition. Which should the nurse include for this type of data collection? Select all that apply. The unlicensed assistive personnel (UAP) reports to the nurse that the client is reporting nausea and has vomited. Listen to the client's bowel sounds. Increase in gastric secretions D. a client who lives in a long-term care facility is receiving intermittent enteral feedings and is experiencing social isolation. What is the correct order of care for this A nurse is caring for a client receiving intermittent enteral nutrition who is at risk for aspiration due to delayed gastric emptying. B) The client has normal digestion and absorption. Increased abdominal distention, A nurse is teaching a Study with Quizlet and memorize flashcards containing terms like A client is receiving continuous tube feeding via a nasogastric tube. Which of the following is no longer considered appropriate to use to unclog the tube? A) Digestive enzyme mixed with warm water B) Commercial enzyme product C) Air insufflation D) C) Tube feeding is not an option if the client is unable to manipulate the system independently. B. Flush the feeding tube with 30mL of water B. Nasogastric tubes are typically used for decompression of the stomach in intestinal obstruction or ileus. " d) "I will pull down her lower eyelid and drop the medication inside. A nurse is inserting a nasogastric tube for a client and asks the client to flex their head toward their chest after the tube passes through the nasopharynx. After checking tube placement, which action would the nurse take next?, The the increased potential for aspiration. How many milligrams (mg) of ondansetron hydrochloride will the nurse administer? Fill in the blank. Study with Quizlet and memorize flashcards containing terms like The nurse working on a medical-surgical floor is caring for a client with a small bowel obstruction that has a nasogastric tube (NG). C) The client requires a high-protein diet. The client has a gastric residual of 550 mL. Offer the client sips of water to drink. The first thing the nurse does is a) Flush with 10 mL of water. and the Society of Critical Care Medicine guidelines for critically ill patients advise against halting tube feedings for GRVs below 500 mL unless the patient has other signs and symptoms of intolerance. Also included is a brief library of video links that demonstrates how to perform this skill. 600 mL of formula 3. Which of the following is an appropriate Study with Quizlet and memorize flashcards containing terms like he nurse is caring for a comatose patient and administering gastrostomy feedings. This set of guidelines serves as a guide for caregivers of adults with nasogastric tube feeding. Which of the following findings indicates that the tube has become occluded?, A nurse is informed during shift report that a client has a nasogastric tube connected to continuous suction. , The nurse is A nurse is preparing to administer several medications to a client who is receiving enteral feedings through a small bore nasogastric tube. the nurse notes increase abdominal distention, lethargy, blood stools, and increasing gastric residuals before feedings. The following are the step-by-step procedures in monitoring a Snapshot: This document provides an overview of nasogastric tubes, along with clinical indications, contraindications, steps for insertion and removal, NG tube care, and use with medications and feedings. 3. which of the following interventions should the nurse recommend? - encourage the client to go to the dining room at meal times to talk with other clients - suggest that the client watch television while feedings are being administered Monitoring a Nasogastric Tube. Inspect the nose daily for skin irritation. Potassium and Phosphates D. Study with Quizlet and memorize flashcards containing terms like A nurse is checking the clients nasogastric tube replacement. Check tube placement by inserting air into the tube while auscultating at the gastric fundus. Enough formula to last for 8 hours Apply benzoin to the skin if available. A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. The previous residual was 200 mL. What does this color of aspirate indicate? and more. The nurse reports the following as an adverse reaction to the tube feeding: Renal studies Fasting blood glucose level Liver function tests Physical assessment data Study with Quizlet and memorize flashcards containing terms like The nurse is assisting to perform a focused data collection process on a client who is complaining of symptoms of a cold, a cough, and lung congestion. The nurse is preparing to administer a continuous tube feeding to a client with a nasogastric tube. , The nurse A) Prime the tubing with 20 mL of normal saline. July 2010. Which of the following findings 1)Position the client with the head of bed elevated 30 to 45° degrees. The nurse understands that which is the appropriate position for this client at this time? 1. D. What action should the nurse take to verify the initial placement of the tube?, A nurse is teaching a group of Study with Quizlet and memorize flashcards containing terms like The nurse is to discontinue a nasogastric tube that had been used for decompression. Position patient Study with Quizlet and memorize flashcards containing terms like A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. b) Remove the tape from the nose of the client. See an expert-written answer! The nurse is caring for a client who is receiving a standard, isotonic formula through a nasogastric tube. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a nasogastric tube connected to suction. The nurse is caring for a client who has just returned from the operating room after the creation of a colostomy. As the nurse is finishing the feeding, the client asks for the bed to be positioned flat for sleep. 800 mL of formula 4. B) Keep the vent lumen above the patient's waist. A. Nursing Management of Nasogastric Tube Feeding in Adult Patients. c) "I should apply the medication using a thin stream from the inner canthus to the outer canthus. The health care provider has prescribed an amount of 100 mL/hr. b. The steps for irrigating enteral tubes are typically the following: Draw the required amount of water into the 60-mL syringe and dispel excess air. What does the nurse suspect has occurred? A nonresponsive client has a nasogastric tube to low intermittent suction due to gastrointestinal bleeding. Nasogastric tube irrigations are prescribed to be performed once every shift. If the tube has a clamp, close it. How much formula should the nurse plan to add to fill the feeding bag? 1. and tube placement are important assessments for the client with a nasogastric tube A. Study with Quizlet and memorize flashcards containing terms like The nurse provides the client with a gravity feeding via a gastrostomy tube. The nurse should identify that which of the following requires an enteral tube feeding?, A nurse is providing teaching about risk for aspiration with a client who is receiving intermittent bolus nasogastric feedings. 1. Proper monitoring of a nasogastric tube is essential to ensure its correct placement and effective function. , A hospitalized client is a lacto A. Change the nasal tape every 2 to 3 days. Which of the following actions should the nurse take first? Rinse the feeding bag with water between feedings. Which action is correct?, The nurse is administering an intermittent tube feeding using a gravity set-up and open feeding bag system. It is most important for the nurse to C) Tube feeding is not an option if the client is unable to manipulate the system independently. Open the distal end of the tube and connect the syringe. Attach the nasogastric tube to suction and set to low suction (intermittent suction if possible). , The nurse is reinforcing instructions provided to a protocol) in patients receiving con - tinuous tube feedings. Enough formula to last for 8 hours Study with Quizlet and memorize flashcards containing terms like A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. d) Provide oral hygiene. Which intervention would be the highest priority to reduce the risk of aspiration for this patient? Omitted A. Nursing responsibilities associated with caring for a client with an enteral tube include the following: Assessing tube placement and patency Assessing and cleansing the insertion site Dr. Study with Quizlet and memorize flashcards containing terms like Three days after admission to the hospital for a brain attack (cerebrovascular accident [CVA]), a client has a nasogastric tube inserted and is receiving continuous tube feedings. It is most important for the nurse to A. The nurse should place the client in which position to administer the feeding?, The nurse is caring for a client who will be taught to ambulate with a cane. Tube feedings preserve GI integrity by intraluminal delivery of nutrients. Then wrap the tails of the tape in opposite directions around the tube. Before cane-assisted ambulation instructions a nurse is caring for a preterm newborn who has a NG tube and who recently began intermittent gavage feedings of formula. Study with Quizlet and memorize flashcards containing terms like A nurse providing care to a patient who is receiving nasogastric tube feedings finds that the tube is clogged. The client is in a state of: digestion. Document and discard the residual. Auscultate lung sounds every 4 hours. Ensure the formula is at room temperature D. Aluminum and magnesium, A nurse is caring for a client with a nasogastric tube (NGT) who has a prescription for NGT irrigation once every 8 hours. STATEMENT OF INTENT. Aspirate the contents from the nasogastric tube. Jump to: Instructional Videos for Nasogastric Tubes Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a nasogastric tube connected to suction. Tube feedings Study with Quizlet and memorize flashcards containing terms like Gastrostomy feedings are preferred to nasogastric feedings in the comatose patient, because the:, When assisting with the plan of care for a client receiving tube feedings, which of the following would the nurse include to reduce the client's risk for aspiration?, Which of the following . , The nurse is caring for a client receiving continuous tube feeding. She consumes less than 300 calories per day and has a large amount of interstitial fluid. S. What should the nurse do to best evaluate whether the feeding is being absorbed? 1) Aspirate for a The nurse is caring for a client who is receiving bolus feedings via a nasogastric tube. D) Tube feeding has not been shown to increase survival rates significantly among this population. but client care is most important initially. See Figure \(\PageIndex{8}\) [32] for an image of a nurse irrigating an NG tube. The nurse checks the residual and obtains an amount of 200 mL. Chloride and bicarbonate C. Use a 4- to 5-inch piece of adhesive tape that is ripped vertically for half of its length and attach the wide half to patient’s nose. Still, they can also be used to administer nutrition or medication to patients who cannot tolerate oral intake. Visually assess aspirate that Study with Quizlet and memorize flashcards containing terms like The prescription reads to give ondansetron hydrochloride 0. 3)Aspirate all gastric contents. Abraham Levin first described their use in 1921 (see Image. The nurse is caring for a client who is receiving an intermittent feeding via a nasogastric (NG) tube. Which action should the nurse take to The nurse cares for a client who receives feedings through a nasogastric (NG) tube and assesses the client for signs and symptoms of pulmonary complications. Which accurately describes an aspect of this procedure?, The nurse is preparing to administer an intermittent feeding to a client who has a nasogastric feeding tube. Active bowel sounds B. Which of the following is no longer considered appropriate to use to unclog the tube? A nonresponsive client has a nasogastric tube to low intermittent suction due to gastrointestinal bleeding. A nurse providing care to a patient who is receiving nasogastric tube feedings finds that the tube is clogged. Open the clamp To help reduce risk, monitor GRV every 4 hours (or according to protocol) in patients receiving continuous tube feedings. The client asks the nurse why a spacer is needed with the inhaler. What Procedure should the nurse, A nurse is caring for a client who has a newly inserted nasogastric tube. Which action is correct?, A client is receiving a continuous tube feeding. 2)Verify correct tube placement. The tube is draining green aspirate. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. N. negative nitrogen balance. Elevate the head of the bed 45 degrees during and following feedings. anabolism. C) Maintain the patient in a high Fowler's position. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. Add blue food coloring to the enteral formula C. Which actions should the nurse take? Select all that apply. 5)Flush the tube with 30 mL of water. The nurse is caring for a client with a nasogastric tube who is receiving intermittent tube feedings by gravity every 4 hours. 2. P. Nurses must follow specific guidelines for inserting, caring for, and removing nasogastric tubes to ensure patient safety and comfort. ", A nurse is caring for a client who has a prescription for a fluticasone propionate inhaler with a spacer. When the new bag of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has developed irritation to his feeding tube in the past. The nurse notes the findings as shown in the accompanying documentation. A nasogastric tube is a medical device that is commonly used to deliver medication, nutrition, or remove stomach contents. It is essential for nurses to understand the appropriate nursing interventions and care that are necessary to ensure the safety and comfort of patients with nasogastric tubes. Passing flatus C. Sometimes, healthcare providers or-der withholding of tube feedings at Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer medications for a client who has a nasogastric tube. 5. Preventing curling of the tube in the mouth. , A patient receiving tube feedings is experiencing diarrhea. E. 4)Verify that residual volume is less than 200 mL. Elevating the head of the bed 30 to 45° degrees minimizes the possibility of aspiration into the trachea. C. Apply water-based lubricant to the nares daily. Tell the client to keep the head of the bed elevated at least 30°. c) Withdraw the tube gently for 6 to 8 inches. Before feeding the client via the NG tube, the nurse should take which actions? Select all that apply. Nurses must also monitor patients for potential complications and take appropriate measures to address them, such as nausea, vomiting, or aspiration. The nurse should be most concerned with the potential for:, The nurse is checking placement of a nasogastric tube that has been in place for 2 days. The nurse monitors fluid balance using which as the best indicator? Daily weight. This formula is best suited to meet the client's nutritional needs if which client factor is present? A) The client has chronic constipation. Which of the following actions should the nurse take prior to administering the medications? A. The client weighs 132 pounds. A client has been receiving intermittent tube feedings for several days at home. Flush tubing with 20 mL water after feeding is completed. The nurse aspirates 75 mL of residual prior to the next feeding. 15 mg/kg of body weight 30 minutes before receiving chemotherapy. Which of the following is an appropriate The nurse is preparing to administer a continuous tube feeding to a client with a nasogastric tube. The nurse and the physician suspect that the patient is experiencing dumping syndrome. The nurse is preparing to administer an intermittent tube feeding to a client with a nasogastric (NG) tube. A family members receives instructions about how to care for the tube. Place the client in Fowler's position, A nurse is inserting a nasogastric tube for a client and asked the client to flex their head toward their chest after the two passes through the nasopharynx. The nurse is unable to aspirate gastric contents and realizes that the tube is clogged. Calcium and Chloride B. Closing off the glottis. The recommendations are based on the available research findings and existing evidence-based guidelines. Which action should the nurse take to The nurse plans care, anticipating that the kidneys also are retaining greater amounts of which substances? A. The client has been receiving intravenous (IV) fluids and nasogastric (NG) tube feedings. A nurse is inserting a nasogastric tube for a client and asks the client to flex their head toward their chest after the tube passes through the nasopharynx. Explanation: Because the normal swallowing mechanism is bypassed, consideration of the danger of aspiration must be foremost in the mind of the nurse caring for the client receiving continuous tube feedings. A nasogastric (NG) tube is a flexible plastic tube inserted through a nostril, down the posterior oropharynx, and into the stomach or the upper portion of the small intestine. Study with Quizlet and memorize flashcards containing terms like An older adult client has a decubitus ulcer with drainage, dysphagia, and immobility. A nurse is caring for a client who has COPD. D) Have the patient pin the tube to the thigh. Study with Quizlet and memorize flashcards containing terms like A client with dementia is discharged home with a percutaneous endoscopic gastrostomy (PEG) tube in place. What does the nurse understand is the reason that gastrostomy feedings are preferred to nasogastric (NG) feedings in the comatose patient?, When assessing whether a patient is a candidate for a client who lives in a long-term care facility is receiving intermittent enteral feedings and is experiencing social isolation. 6)Administer the feeding. BASIC CONCEPTS. The nurse is inserting a nasogastric tube and the patient begins coughing and is unable to speak. The nurse should Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with a jejunostomy tube receiving intermittent enteral feedings. Study with Quizlet and memorize flashcards containing terms like As part of the process of checking the placement of a nasogastric tube, the nurse checks the pH of the aspirate. Nasogastric Tube). Head of bed flat, with the client supine for 60 minutes 2. the nurse should suspect which of the following? overstimulation necrotizing enterocolitis need for The nurse is caring for a client with a nasogastric tube. Which action observed by the home health nurse indicates that the family member is effectively To help the client maintain adequate nutrition, the nurse should plan to:, A nurse is reviewing a client's fluid intake and output record. zok kao lqg jdigodr vxtm icah osnss alms dijmslfe qxgbb