WorksheetsNursing Care: Enteral Feeding and Gastrostomy Tubes
Total questions: 9
Worksheet time: 5mins
A client receiving tube feedings is experiencing diarrhea. The nurse and the health care provider suspects that the client is experiencing dumping syndrome. What intervention is most appropriate?
Stop the tube feed and aspirate stomach contents.
Increase the hourly feed rate so it finishes earlier.
Keep the client in semi-Fowler position for 1 hour after feedings
Administer fluid replacement by IV.
A nurse is admitting a client to the postsurgical unit following a gastrostomy. When planning assessments, the nurse should be aware of what potential postoperative complication of a gastrostomy?
Premature removal of the G tube
Bowel perforation
Constipation
Development of peptic ulcer disease (PUD)
A nurse is providing care for a client with a diagnosis of late-stage Alzheimer disease. The client has just returned to the medical unit to begin supplemental feedings through an NG tube. Which of the nurse's assessments addresses this client's most significant potential complication of feeding?
Frequent assessment of the client's abdominal girth
Assessment for hemorrhage from the nasal insertion site
Frequent lung auscultation
Vigilant monitoring of the frequency and character of bowel movements
The nurse is caring for a client who has a nasogastric tube that has been in place for 2 days. Before administering a scheduled feeding, the nurse should
ensure that the client has recently voided.
administer 30 to 45 mL of water to confirm placement.
position the client upright.
perform a focused gastrointestinal assessment.
A client's enteral feedings have been determined to be too concentrated based on the client's development of dumping syndrome. What physiologic phenomenon caused this client's complication of enteral feeding?
Increased gastric secretion of HCl and gastrin because of high osmolality of feeds
Entry of large amounts of water into the small intestine because of osmotic pressure
Mucosal irritation of the stomach and small intestine by the high concentration of the feed
Acid–base imbalance resulting from the high volume of solutes in the feed
A client with dysphagia is scheduled for percutaneous endoscopic gastrostomy (PEG) tube insertion and asks the nurse how the tube will stay in place. What is the nurse's best response?
Adhesive holds a flange in place against the abdominal skin.
A stitch holds the tube in place externally.
The tube is stitched to the abdominal skin externally and the stomach wall internally.
Internal and external fixation bolsters secure the tube against the stomach wall.
A client is postoperative day 1 following gastrostomy. The nurse is planning interventions to address the nursing diagnosis of Risk for Infection Related to Presence of Wound and Tube. What intervention is most appropriate?
Administer antibiotics via the tube as prescribed.
Wash the area around the tube with soap and water daily.
Cleanse the skin within 2 cm of the insertion site with hydrogen peroxide once per shift.
Irrigate the skin surrounding the insertion site with normal saline before each use.
The nurse is assessing a client with has a percutaneous endoscopic gastrostomy (PEG) tube in place. On inspection, the nurse observes moist, white patches on the skin below the external retention bolster. What is the nurse's best action?
Perform skin care and apply antibiotic ointment as prescribed
Apply an antifungal ointment as prescribed
Irrigate the PEG tube with sterile water
Ask the dietitian to reevaluate the client's feeding formula
The nurse is caring for a client who is postoperative from having a gastrostomy tube placed. What should the nurse do on a daily basis to prevent skin breakdown?
Verify tube placement.
Loop adhesive tape around the tube and connect it securely to the abdomen.
Gently rotate the tube.
Change the wet-to-dry dressing.
