Assisting with Nasogastric and Gastrostomy Care and Tube Feeds

Through peristalsis, chyme is pushed from the stomach into which structure?

• Large Intestine

• Small Intestine

• Pancreas

• Gallbladder

Which structure is located between the pharynx and stomach?

• Esophagus

• Tongue

• Salivary Glands

• Jejunum

What is enteral nutrition?

• Fluid administered through a needle inserted into a vein

• An opening in the stomach

• Nutrients sent into the gastrointestinal tract through a feeding tube

• A tube inserted through the nose into the stomach

Which of the following is the correct definition of a gastrostomy tube?

• AN opening in the stomach

• An opening into the middle part of the small intestine

• A tube surgically created opening in the stomach

• A tube inserted through the nose and into the stomach

When is enteral tube-feeding required?

• When the client is unable to take in nutrients orally and the stomach and intestinal tract are not functional for absorption of nutrients

• When the client is able to swallow food but is having a difficult time with the digestion and absorption of food

• When the client is able to take nutrients by mouth but has difficulty with the absorption of food

• When the client is unable to take nutrients orally but the stomach and intestinal tract are still able to digest and absorb food

A client who requires gastrostomy care and tube feeding may be one who has which condition?

• Trauma to the face, neck, and head

• Severe food allergies

• Stage 4 pressure ulcer

• Multiple sclerosis

Why is it important for the HCA to review the client's care plan prior to providing a tube feed?

• To know how to test the position of the tube

• To read how to insert the tube feed

• To follow tube feed instructions

• To learn how to speed up the tube feed rate

The term “PEG tube” is mentioned in the client's care plan. What does “PEG” stand for?

• Passive enteral graphic

• Providing external gut

• Potential excessive gurgitation

• Percutaneous endoscopic gastrostomy

Which of the following infection prevention and control guidelines is associated with tube feeds?

• Always position the client in an upright position.

• Always wear protective equipment in case of a spill.

• Always store opened cans of formula in the freezer.

• Always store unused formula in the refrigerator.

An HCA is assigned to Mrs. Lang, who is complaining that she has been coughing and sneezing throughout the night and this morning. It is time for a tube feed and the HCA is asked to position Mrs. Lang for her 1700h feed. What does the HCA do next?

• Re-insert the nasogastric tube to ensure it is in the stomach

• Ask the client to turn over and lie on her left side

• Aspirate gastro-intestinal secretions with a syringe

• Report to the nurse that the client has been sneezing and coughing