Deck 28: Nutritional Support and Iv Therapy

Question 1

Persons receiving tube feedings are at risk for aspiration.You need to report which of the following to the nurse at once?

A) Complaints of headache
B) Coughing
C) Dry mouth
D) Pulse rate of 72

Answer 1

Coughing

Question 2

Persons with feeding tubes need frequent:

A) Perineal care
B) Catheter care
C) Oral hygiene
D) Oral fluids

Answer 2

Oral hygiene

Question 3

A feeding tube inserted through the nose and into the small bowel is:

A) A naso-gastric tube
B) A PEG tube
C) A naso-enteral tube
D) A TPN tube

Answer 3

A naso-enteral tube

Question 4

A person has continuous enteral nutrition.The nurse asks you to add ice chips around the container.This is done:

A) So formula is given chilled
B) To prevent the growth of microbes
C) To prevent aspiration
D) To prevent regurgitation

Question 5

A gastrostomy tube is:

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

Question 6

The risk of regurgitation is greatest with:

A) Naso-intestinal tubes
B) PEG tubes
C) Jejunostomy tubes
D) Gastrostomy tubes

Question 7

Giving nutrients through a catheter inserted into a vein is:

A) IV therapy
B) Enteral nutrition
C) Duodenal therapy
D) Parenteral nutrition

Question 8

These statements are about enteral nutrition.Which is correct?

A) The person is always NPO.
B) The nurse orders the type and amount of formula.
C) You can insert the feeding tube.
D) Feedings are scheduled or continuous.

Question 9

Intravenous therapy is:

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

Question 10

A person has a nasogastric tube.To prevent the tube from irritating the nose,the tube is secured to the:

A) Nose
B) Face
C) Mouth
D) Ear

Question 11

Which health team member checks tube placement before a tube feeding is given?

A) An RN
B) A physical therapist
C) A dietitian
D) A nursing assistant

Question 12

Your state allows nursing assistants to give tube feedings.The procedure is in your job description.Before giving a tube feeding,you need which information from the nurse and the care plan?

A) How to correctly identify the person
B) What time the feeding should be done
C) The cost of the formula
D) What formula to use

Question 13

Backflow of stomach contents into the mouth is:

A) Dysphagia
B) Regurgitation
C) Gavage
D) Emesis

Question 14

A nasogastric tube is:

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

Question 15

A doctor inserts this type of feeding tube with an endoscope.

A) PEG tube
B) NG tube
C) Jejunostomy tube
D) Nasoduodenal tube

Question 16

Aspiration is:

A) The loss of appetite
B) Breathing fluid,food,vomitus,or an object into the lungs
C) The backward flow of stomach contents into the mouth
D) The swelling of body tissues with water

Question 17

A jejunostomy tube is:

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 stab wound
D) A tube inserted through the nose and into the stomach

Question 18

After a tube feeding,the person is positioned in semi-Fowler's position for:

A) 15 minutes.
B) About 30 minutes
C) 45 minutes.
D) 1 to 2 hours.

Question 19

Gavage is:

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

Question 20

Enteral nutrition is:

A) An opening in the stomach
B) Fluid administered through a needle inserted into a vein
C) Giving nutrients into the gastro-intestinal tract through a feeding tube
D) A tube inserted through the nose into the stomach

Question 21

The nurse asks you to discontinue a peripheral IV.This task is not in your job description.What should you do?

A) Politely refuse.
B) Report the nurse to the director of nursing.
C) Discontinue the IV only if a nurse can supervise you.
D) Ask another nursing assistant to help you.

Question 22

A person has an IV.Which statement is correct?

A) You can start the IV.
B) You can regulate the flow rate.
C) You decide what amount to give.
D) You are never responsible for starting or maintaining IV therapy.

Question 23

A resident is receiving TPN.The person has an elevated temperature and complains of chills.What should you do?

A) Give the person a bath.
B) Call the nurse at once.
C) Stop the TPN.
D) Offer the person another blanket.

Question 24

The alarm is sounding on an IV infusion pump.Which action is correct?

A) Tell the nurse at once.
B) Turn off the pump.
C) Change the controls on the pump.
D) Unplug the pump.

Question 25

To check the IV flow rate,which is correct?

A) Count the number of drops in 30 seconds and multiply by 2.
B) Count the number of drops in 1 minute.
C) Check how much fluid remains in the IV bag.
D) Note if the rate seems too fast or too slow.

Question 26

Your state allows nursing assistants to give tube feedings.The procedure is in your job description.Before giving a tube feeding,you must always do which of the following?

A) Check and inspect the feeding tube and label with a co-worker.
B) Make sure you check for tube placement.
C) Make sure the feeding is the correct dose.
D) Trace the feeding tube back to the insertion site.

Question 27

A person is receiving hyperalimentation.Which is correct?

A) You can start the IV.
B) You can regulate the flow rate.
C) You decide what amount to give.
D) You are never responsible for hyperalimentation.

Question 28

The nurse asks you to check an IV flow rate.You need to tell the nurse at once if no fluid is dripping or if the rate is too fast or too slow.

Question 29

All states and agencies allow nursing assistants to change peripheral IV dressings.

Question 30

Tube feeding formula is given cold to prevent microbes from growing in the formula.

Question 31

A feeding pump is used for a continuous tube feeding.

Question 32

When assisting with IV therapy,you can do which of the following?

A) Follow Standard Precautions and the Bloodborne Pathogen Standard.
B) Adjust the flow rate as directed by the nurse.
C) Ask the person to hold on to her IV bag and tubing when walking.
D) Remove the catheter if there is bleeding at the insertion site.

Question 33

Which is a peripheral IV site?

A) The jugular vein
B) The basilic vein
C) The subclavian vein
D) A vein on the back of the hand

Question 34

You note bleeding from an IV insertion site.Which action is correct?

A) Tell the nurse at once.
B) Apply a dressing over the needle or catheter.
C) Clamp the IV tubing.
D) Discontinue the IV.

Question 35

You are never responsible for inserting feeding tubes or checking their placement.

Question 36

A person is receiving hyperalimentation through an IV.The alarm sounds on the pump.What should you do?

A) Shut off the alarm.
B) Check the system to find out what is causing the problem.
C) Shut off the pump.
D) Call for the nurse.