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Worksheets13C NRG304 LEC QUIZ 2
Total questions: 30
Worksheet time: 3600secs
As a medical surgical ward nurse you know that gastrointestinal intubation is part of your responsibilities. Which of the following patient are indicated to undergo gastrointestinal intubation? Select all that apply?
Gina who ingested toxins that must be removed
Charlie who is admitted due to gastric bleeding
Albert who needs to be diagnosed for kidney disorder
Bianca who is unwilling to eat due to psychiatric issues
Ryan who is suspected to have gastric ulcer
You are assigned in the ICU and are assisting in the insertion of a nasogastric tube with a 60 year old male who has a diagnosis of stage 4 pancreatic cancer. You know that which of the following is the correct way to measure the tube to be inserted?
Measure the distance from the tip of the nose to the earlobe through the bottom of the xiphoid process
Measure the distance from the tip of the nose to the earlobe through the midway of the xiphoid and umbilicus
Measure the distance from the tip of the nose to the earlobe through the bottom of the umbilicus
Measure the distance from the middle bridge of the nose to the earlobe through the bottom of the xiphoid process
Measure the distance from the tip of the nose to the back of the throat through the bottom of the xiphoid process
NGT insertion is a vital procedure commonly done with patients in the ICU. Which of the following instructions will you tell the patient in order to facilitate NGT insertion?
Take sips of water upon the advancement of the NGT tube
Hold your breath during the insertion of the tube to avoid aspiration
Bend your head backwards to help in the smooth insertion of the tube
Exhale while the tube is advanced into the patients mouth
Be in supine position with pillow supporting on the back of the neck
The doctor ordered the removal of Patient Jake's nasogastric tube. Which of the following instruction will you give Jake upon removal of the tube?
Instruct Jake to exhale while you pull the tube smoothly and continuously
Instruct Jake to bend his head forward Instruct while you pull the tube smoothly and continuously
Instruct Jake to bear down while you pull the tube smoothly and continuously
Instruct Jake to take sips of water while you pull the tube smoothly and continuously
Instruct Jake to open his mouth while you pull the tube smoothly and continuously
You just finished in the insertion of the nasogastric tube. Which of the following is the most accurate way to confirm its placement?
X-ray
Withdrawal of stomach content and check for pH level
Inject 10ml of air and auscultate for gurgling sound in the epigastrium
Immerse tip of the of the NGT into water and observe for bubbling
Aspirate for residual stomach content
You are using a plastic Levin tube for nasogastric intubation. Which of the following preparation should you do?
Place the tube in warm water until the tube is softer to facilitate insertion
Place the tube on ice for 5 to 10 minutes to stiffen the tube and facilitate insertion
No necessary preparations are needed
Open the packaging of the tube and assess for completeness of the tube
Place the tube in the autoclave machine until the tube is softer to facilitate insertion
The doctor ordered NGT insertion for patient Wang. You are using a rubber Levin tube for nasogastric intubation. Which of the following preparation should you do?
Place the tube in warm water until the tube is softer to facilitate insertion
Place the tube on ice for 5 to 10 minutes to stiffen the tube and facilitate insertion
No necessary preparations are needed
Open the packaging of the tube and assess for completeness of the tube
Place the tube in the autoclave machine until the tube is softer to facilitate insertion
You are giving feeding to patient Vicky who has a gastrostomy tube. Which of the following procedure is not necessary?
Place the patient in semi-fowlers position
Flush 30ml of water pre-feeding
Flush 30ml of water post-feeding
Auscultating for gurgling sound
Kinking the tube prior to administration of feeding
You are assessing your fellow nurse on his knowledge of taking care and maintaining tube functin. You ask him, How often should the nasogastric tube be flushed when not in use? The correct answer would be?
Once a day
Twice a day
Every 4 hours
PRN/as needed
A patient with inflammatory bowel disease is receiving TPN. The basic component of TPN solution is most likely to be a dextrose solution which is?
isotonic
hypertonic
hypotonic
colloidal
All of the options are correct
TPN is ordered for a client with Crohn's disease. While administering the TPN. You are aware that TPN solution are used to?
increase cell nutrition
treat metabolic acidosis
for hydration
reverse positive nitrogen balance
provide medication
You are assigned in the ICU and are taking care of a patient with TPN, which of the following should you monitor in order to assess the clients ability to metabolize TPN solution?
tachycardia
hypertension
elevated BUN concentration
elevated WBC
hyperglycemia
The nurse is aware that the side effect of too rapid infusion of TPN solution is which of the following?
negative nitrogen balance
circulatory overload
hypoglycemia
hypokalemia
diarrhea
You are taking care of a patient with TPN, the doctor order to follow up with another TPN however the patient's family is having a hard time procuring the TPN, Which of the following IVF is the best to hook to the patient while waiting for the TPN to arrive?
D10water
D5NSS
PNSS
D5NM
PLR
The physician orders intestinal decompression with a Miller-abbot tube. The purpose of nasoenteric tube is which of the following?
to remove fluid and gas from the intestine
to prevent fluid accumulation in the stomach
too break up intestinal obstruction
to provide an alternative route for drug administration
to provide visualization and diagnosis
You are assessing the patient for possible complications of fluid volume deficit. All of the following are signs and symptoms of fluid volume deficit, EXCEPT?
dry skin
decreased heart rate
hypotension
decrease urinary output
lightheadedness
You are assessing the patient for potential pulmonary complications. All of the following are signs and symptoms of potential pulmonary complications, EXCEPT?
Coughing during administration of food
difficulty clearing the airway
tachypnea
fever
lose of consciousness
You are giving feeding to a patient with Nasogastric tube, which of the following is the appropriate position for the patient?
Supine position
Sim's position
Reverse Trendelenburg position
Trendelenburg position
Knee chest position
In providing feeding to patients with BGT, it is important to know the types of formula you are giving them. Which of the following formula contains only one major nutrient such as protein?
Modular product
Disease specific formula
Polymeric formula
Chemically defined formula
Fiber formula
When giving oral medication medication to patients with nasogastric tube. Which of the following method is appropriate?
Bolus tube feeding
Intermittent gravity drip feeding
Continuous feeding
Cyclic feeding
Intravenous method
You are gonna give enteral feeding to a patient over 8 to 18hrs. which method will be most appropriate to use for the patient?
Bolus tube feeding
Intermittent gravity drip feeding
Continuous feeding
Cyclic feeding
Intravenous method
The doctor ordered TPN 3L @ 100cc/hr. You started the infusion at January 27,2021 1pm. Using your knowledge in TPN and intravenous computations, when is your due time?
January 28, 2021 1pm
January 28, 2021 3pm
January 28, 2021 9ampm
January 28, 2021 12noon
January 28, 2021 10am
Which of the following are strategies to help on preventing dumping syndrome? Select all that apply
Slow the formula installation rate
Administer feeding at room temperature
Advice patient to remain in semi-fowlers position for 1 hour after feeding
Instill minimal amount of water needed to flush the tubing
Administer feeding by continuous drip rather than by bolus
You are giving health teaching to a patient in order to prevent dumping syndrome. All of the following health teachings are correct, EXCEPT? Select all that apply
Eat foods high in simple carbohydrates
Eat protein with meals and snack
Avoid drinking liquid with meals
Eat five to six small meals a day
Lie down for about 15 minutes after eating
You are taking care of a patient with Parenteral nutrition and IVFE. Allof the following is the correct ways to administer them, EXCEPT? Select all that apply
Parenteral nutrition is piggyback into the IVFE
IVFE may be infused simultaneously with Parenteral nutrition through the y port connector close to the infusion site
IVFE should be filtered
A total of 1-3L of solution should be given over a 24hour period
Parenteral nutrition are initiated slowly and advanced gradually each day
As a nurse you should be well aware of the types of central venous access devices or CVADs, Which of the following devices is used in a short term duration for about <6weeks?
Percutaneous Central Catheter
PICC
Surgically Placed Central Catheter
Implanted Vascular Access port
Tunneled Central Catheter
Which of the following Central Catheter is accessed through the cephalic vein above the antecubital space and the catheter is threaded to the superior vena cava?
Percutaneous Central Catheter
PICC
Surgically Placed Central Catheter
Implanted Vascular Access port
Tunneled Central Catheter
Which of the following is contraindicated to do on the extremity of a patient with PICC? Select all that apply
Blood pressure taking
Blood specimen taking
SpO2 checking with pulse oximeter
Checking of pulse rate
Assessing of CRT
Which of the following potential nursing diagnosis would be most appropriate for a patient with TPN?
impaired swallowing
impaired gas exchange
risk for fluid volume excess
ineffective tissue perfusion
risk for injury
Which of the following should the nurse interpret as indication of complication after few days of receiving TPN?
elevated temperature
weight gain of about 1 to 2 lbs
decreased appetite
All of the options are correct
The body uses amino acids for protein synthesis rather than energy
