Deck 29: Enteral Nutrition and Intravenous Therapy
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Deck 29: Enteral Nutrition and Intravenous Therapy
1
Which of the following is the most common IV site?
A)The jugular vein
B)The basilic vein
C)The subclavian vein
D)A vein on the back of the hand
A)The jugular vein
B)The basilic vein
C)The subclavian vein
D)A vein on the back of the hand
D
2
The client has just completed a tube feeding.How long should the client be positioned in semi-Fowler's position after enteral feed?
A)15 minutes
B)About 30 minutes
C)45 minutes
D)1 to 2 hours
A)15 minutes
B)About 30 minutes
C)45 minutes
D)1 to 2 hours
D
3
The risk of regurgitation is less with which of the following feeding tubes?
A)Nasogastric tubes
B)PEG tubes
C)Jejunostomy tubes
D)Gastrostomy tubes
A)Nasogastric tubes
B)PEG tubes
C)Jejunostomy tubes
D)Gastrostomy tubes
C
4
What is the correct term for a feeding tube that is inserted through the nose into the small intestine?
A)A nasogastric tube
B)A PEG tube
C)A nasointestinal tube
D)A TPN tube
A)A nasogastric tube
B)A PEG tube
C)A nasointestinal tube
D)A TPN tube
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5
A cannula or catheter is which of the following?
A)A plastic tubing threaded over a needle
B)A tube feeding
C)Another name for a PEG tube
D)A gastro-jejunostomy tube
A)A plastic tubing threaded over a needle
B)A tube feeding
C)Another name for a PEG tube
D)A gastro-jejunostomy tube
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6
What is a jejunostomy tube?
A)An opening in the stomach
B)A feeding tube inserted into a surgically created opening in the jejunum of the small intestine
C)A tube inserted into the stomach through a surgically created opening
D)A tube inserted through the nose and into the stomach
A)An opening in the stomach
B)A feeding tube inserted into a surgically created opening in the jejunum of the small intestine
C)A tube inserted into the stomach through a surgically created opening
D)A tube inserted through the nose and into the stomach
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7
What do clients with feeding tubes need frequently?
A)Perineal care
B)Catheter care
C)Oral hygiene
D)Oral fluids
A)Perineal care
B)Catheter care
C)Oral hygiene
D)Oral fluids
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8
A client, Mr.Uyenaka, is receiving intravenous therapy.Which of the following best describes this?
A)Giving nutrients through the gastro-intestinal system
B)A tube feeding
C)Giving fluids through a needle or catheter inserted into a vein.
D)The many processes involved in the ingestion, digestion, absorption, and use of food and fluids by the body.
A)Giving nutrients through the gastro-intestinal system
B)A tube feeding
C)Giving fluids through a needle or catheter inserted into a vein.
D)The many processes involved in the ingestion, digestion, absorption, and use of food and fluids by the body.
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9
Which of the following is the correct definition of the term aspiration?
A)The loss of appetite
B)Breathing fluid or an object into the lungs
C)The backward flow of stomach contents into the mouth
D)The swelling of body tissues with water
A)The loss of appetite
B)Breathing fluid or an object into the lungs
C)The backward flow of stomach contents into the mouth
D)The swelling of body tissues with water
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10
Which of the following health care team members checks tube placement before a tube feeding is given?
A)A nurse
B)A physiotherapist
C)A dietitian
D)A support worker
A)A nurse
B)A physiotherapist
C)A dietitian
D)A support worker
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11
A doctor inserts this type of feeding tube with an endoscope.
A)PEG tube
B)NG tube
C)Jejunostomy tube
D)Nasoduodenal tube
A)PEG tube
B)NG tube
C)Jejunostomy tube
D)Nasoduodenal tube
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12
What is enteral nutrition?
A)An opening in the stomach
B)Fluid administered through a needle inserted into a vein
C)Sending nutrients into the gastro-intestinal tract through a feeding tube
D)A tube inserted through the nose into the stomach
A)An opening in the stomach
B)Fluid administered through a needle inserted into a vein
C)Sending nutrients into the gastro-intestinal tract through a feeding tube
D)A tube inserted through the nose into the stomach
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13
Shortness of breath is an example of which of the following?
A)A complication resulting from loss of vitamins and minerals
B)A complication of IV therapy
C)A side effect of nasogastric feeding
D)A side effect of diarrhea
A)A complication resulting from loss of vitamins and minerals
B)A complication of IV therapy
C)A side effect of nasogastric feeding
D)A side effect of diarrhea
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14
What does the term gavage mean?
A)The process of giving a tube feeding
B)A container used to measure fluid
C)A tube inserted through the nose and into the stomach
D)Giving nutrients through the gastro-intestinal system
A)The process of giving a tube feeding
B)A container used to measure fluid
C)A tube inserted through the nose and into the stomach
D)Giving nutrients through the gastro-intestinal system
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15
A client has continuous enteral nutrition.The nurse asks the support worker to add ice chips around the container.Why is this done?
A)So that formula is given chilled
B)To prevent the growth of microbes
C)To prevent aspiration.
D)To prevent regurgitation
A)So that formula is given chilled
B)To prevent the growth of microbes
C)To prevent aspiration.
D)To prevent regurgitation
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16
A tube holder can be used to prevent nasogastric and nasointestinal tubes from causing irritation and pressure on the:
A)Nose
B)Face
C)Mouth
D)Ear
A)Nose
B)Face
C)Mouth
D)Ear
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17
The support worker notices bleeding from an IV insertion site.Which of the following actions is correct?
A)Telling your supervisor at once
B)Applying a dressing over the needle or catheter
C)Clamping the IV tubing
D)Discontinuing the IV
A)Telling your supervisor at once
B)Applying a dressing over the needle or catheter
C)Clamping the IV tubing
D)Discontinuing the IV
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18
What is the backflow of stomach contents into the mouth is called?
A)Dysphagia
B)Regurgitation
C)Gavage
D)Emesis
A)Dysphagia
B)Regurgitation
C)Gavage
D)Emesis
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19
Which of the following is the correct definition of a gastrostomy tube?
A)An opening in the stomach
B)An opening into the middle part of the small intestine
C)A tube inserted through a surgically created opening in the stomach
D)A tube inserted through the nose and into the stomach
A)An opening in the stomach
B)An opening into the middle part of the small intestine
C)A tube inserted through a surgically created opening in the stomach
D)A tube inserted through the nose and into the stomach
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20
What is nasogastric tube?
A)An opening in the stomach
B)An opening into the middle part of the small intestine
C)A feeding tube inserted through the nose and into the small intestine
D)A feeding tube inserted through the nose and into the stomach
A)An opening in the stomach
B)An opening into the middle part of the small intestine
C)A feeding tube inserted through the nose and into the small intestine
D)A feeding tube inserted through the nose and into the stomach
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21
Regurgitation can cause which of the following?
A)Diarrhea
B)Aspiration
C)Gavage
D)Phlebitis
A)Diarrhea
B)Aspiration
C)Gavage
D)Phlebitis
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22
Dana, the support worker, is checking on a home care client with an IV.Dana observed that the catheter has become dislodged and the site is bleeding.What should Dana do?
A)Apply splints or restraints to prevent movement of the extremity.
B)Apply pressure with sterile gauze, according to Standard Practices, and contact your supervisor immediately.
C)Assist the client with turning and repositioning.
D)Restrain your client.
A)Apply splints or restraints to prevent movement of the extremity.
B)Apply pressure with sterile gauze, according to Standard Practices, and contact your supervisor immediately.
C)Assist the client with turning and repositioning.
D)Restrain your client.
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23
Why does the nurse measure the pH of gastro-intestinal secretions before every tube feeding? The pH readings will indicate:
A)Which type of nutrients the client needs
B)When the last feeding was administered
C)If the tube has moved
D)The appropriate time for the next feeding
A)Which type of nutrients the client needs
B)When the last feeding was administered
C)If the tube has moved
D)The appropriate time for the next feeding
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