Nutritional Care for Upper GI Cancer

Your patient is experiencing severe dysphagia and odynophagia due to unresectable esophageal tumour. Nutrition assessment that you should do for him is

• bone mass

• dietary record

• laboratory result

• anthropometric measurement

Factors that might affect Mr E nutritional status post gastrectomy is

• pain

• loss of digestive enzymes

• malabsorption of nutrients

• resection a portion of the gaster

Which of the following is appropriate for a patient who has difficulty in swallowing foods but has functional gastrointestinal tract?

• Nasoenteric  feeding

• Gastrostomy feeding

• Oral liquid supplements

• Total parenteral nutrition

The nurse is providing discharge education to a client following partial gastractomy. Which measure will the nurse instruct the client to follow to prevent dumping syndrome?

• Avoid taking fluids with meals

• Limit food high in sugar and candies

• Rest or lie down 15 minutes after a meal

• Eat 3 meals per day to avoid over loading of stomach

Nursing interventions that you need to apply in preventing feeding tube clogged include

• use liquid form drugs

• use acidic fluids to flush tube

• flush the tube with 30cc of water after feeding

• use dishwashing liquid and water to wash the tube

Calculate the body mass index (BMI) for your patient whose height is 167 cm and weight is 70 kg

• 24.22

• 25.10

• 34.08

• 41.91

Types of nutritional feeding route you will consider for your patient with gastric cancer is

• gastric tube

• jejunostomy

• nasogastric tube

• total parenteral nutrition

Your explanation to a patient plan for enteral tube is

• convenience to bring home

• indicated for short term nutritional support

• associated with more metabolic complications

• maintaining  the normal stimulation of digestive enzyme

During procedure of nasogastric tube insertion, your patient begins to cough and has difficulty in breathing. Your nursing action is

• continue with the tube insertion

• notify the physician immediately

• remove the entire tube and reinsert when the respiratory distress subsides

• pull out half of the tube and  reinsert when the respiratory distress subsides