Question

11. There are precautions that need to be taken when initiating and administering both enteral and parenteral feedings. Please list the precautions and possible complications that are associated with both types and how can they be avoided? 10 pts

12. Aspiration is a major possible complication with enteral feedings. List possible aspiration precautions that a nurse can implement and what one would do if they suspect aspiration.

13. Identify the interventions needed in order to maintain tube placement and patency.

1. Discuss the organs and parts of the GI tract and each of their functions. Identify the key function of the GI tract? 8 pts

2.When performing a focused assessment on bowel elimination identify the factors that influence bowel elimination. 11pts

3. Identify and define 5 common elimination problems? 5pts

Answer 1

Entrenal feeding by mout or nasogastric tube preferred method for feeding

Precautions of entrenal food- cleanliness ,

Avoid overfeeding as it leads into hyperglycemia, hepatic steatosis,raised blood urrea nitrogen,excess co2 production

Nasogastric tube - confirmation of the tube in the stomach is made by injecting 5ml of air down the tube listening through stethoscope

Contraindications of enteral nutrition-

Intestinal obstruction, GI bleed , paralytic ileus,severe diarrhea,high output fistula

Complications of tpn( total parentral nutrition)

Air embolism

Pneumothorax

Bleeding

Electrolytes imbalance- hyponatremia, hypokalemia, hypophosphatemia,

Hyperosmolarity, hyperglycemia

12. Most important cleaning the screation through mouth cavity

If any symptoms appear related to aspiration - dysnea , increase respiratory rate, increase heart rate , patient are cyanose immediately remove nasogastric tube