What should the nurse do if they have witnessed a breach of a pt's privacy in a primary care provider's office?
Complete a health info privacy complaint form and submit it to the appropriate agency
Nurses on a clinical unit wish to research the incidence of falls among pt's following joint replacement surgery. What should they do to make sure the study compies with HIPPA?
Submit their proposal to the institutional review boeard for review and describe how they will de-identify pt info
This agency evaluates a health care organizations's performance in relation to established standards and does not adress individual complaints
Joint Commission
This agency had been given the authority to receive and investigate complaints by patients and other involved individuals related to the privacy rule
Office of Civil rights (OCR)
This agency governs an institution's compliance with policies and procedures that are in place to prevent work-related injuries, illnesses, and deaths
OSHA (occupational safety and health administration)
When converting an IV infusion to a saline lock, what is important for the nurse to do?
Flush the IV catheter to confim patency
True of False. A broken-off catheter tip could indicate the risk for an embolus
True
A nurse putting in an IV observes blood return from the flashback chamber of the IV catheter. which action should the nurse perfom next?
Lower the catheter until it is almost flush with the skin
True of False. You should leave the connection between the hub and the tubing uncovered.
True. This makes is possible to replace the tubing without replacing the dressing
A nursing fins a paitent's IV insertion site red, warm, and slightly edematous. Which of the folowing actions should the nurse perform first.
Discontinue the IV line (according to ATI)
A pt with early stage renal fialure is prescribed an infusion of .45% sodium chloride. this type of solution is appropriate because it?
Dilutes extracellular fluid and rehydrates the cells
How often should the nurse change the primary infusion tubinhg for an IV?
every 72 hours
5% dextrose in water or D5W is what type of a solution?
Isotonic
10% dextrose in water or D10W is what type of solution
Hypertonic
0.9% NaCL or 0.9% NS (normal saline) is what type of solution
Isotonic
0.45% sodium chloride, 0.45% Nacl, 0.45% NS is waht type of solution?
Hypotonic
0.33% sodium chloride/NaCl/NS is what type of solution?
Hyptonic
3%-5% sodium chloride/NaCl/NS is what type of solution?
Hypertonic
5% dextrose in 0.225% NaCl, NS is what type of solution?
Isotonic
5% dextrose in 0.225% sodium chloride, D% 0.225% NaCl, NS, Is What type of solution?
Isotonic
5% dextrose in 0.9% sodium Chloride, or D5 normal saline, D5 0.9% NaCl, NS, is what type of solution
Hypertonic
Lactated Ringer's or LR is what type of solution
Isotonic
5% dextrose in Lactated Ringer's, D5LR, is what type of solution
Hypertonic
What is the max time limit that you should hang an enteral tube feeding?
4 hours, any longer and the fluid becomes at risk for contamination.
Is it better for the enteral tube feeding to be cold or at room temp prior to administration?
Room Temp! cold formula can cause abdominal cramping
True of false. When giving an enteral tube feeding, you should give it at a brisk rate?
False, administering enteral formula tooo fast can cause abdominal cramping, nausea, and vomiting. A lower rate of delivery improves tolerance
True of false. You should allow the bag for the enteral formula to completely empty before refilling it.
False. This can result in an excessive infusion of air, which could cause vomiting.
when inserting a nasogastric tube, why does the nurse ask the patient to flex her head toward her chest after the tube passes throught he nasopharynx?
Because it closes off the glottis, ensuring that the tube goes down the esophagus
What position should the nurse place the pt during administration of a enteral tube feeding to prevent aspiration?
Fowlers position
What should the nurse do before or after administering a tube feeding to ensure that the tube is patent and clear
Flush the tube with water
Inadvertent inhalation of fluid or other substances into the lungs; also, the withdrawal or removal, via a syringe or other apparatus, of a
substance or material from the body.
Aspiration
True of False. Nasogastric tube feedings are an appropriate choice for a pt who has a prarlytic ileus
False, because this a pt with a pralytic ileus has an absence of gastrointestinal motility. Therefore, this is not an appropriate choice for the pt
True of False. A nasogastric tube feeding would be an appropriate choice for a patient has experienced facial trauma
False. due to the high risk of improper tube placement, patients with recent facial or nasal trauma should not have a nasoenteric tube placed. These patients are better candidates for surgical placement of a gastric or jejunal tube.
True or False. A nasogastric tube feeding is an appropriate choice for a patient who has pancreatitis
False
True of false. Nasogastric tube feedings are an appropriate choice for a patient who is post op, following a laryngectomy
True.
A pt with a gastric ileus requires nutritional suport for 2 weeks. would a nasointestinal tube be appropriate for this pt?
yes. because the feeding would be deposited right into the pt's intestines. The pt stomck motility (gastic ileus) so this is the prime location for the feeding.
A percutaneous tube is indicated for a patients who require tube feedings longer than?
4 weeks
would a pt who has a gastric ileus be given a nasogastric tube for feedings?
no, because he has a gastric ileus
how do you determine the length to insert for a nasogastric tube?
Measure the distance form the tip of the patient's nose to the earlobe and from te earlobe to the xiphoid process
This type of formula are single-nutrient formulas and require a fucntioning gastrointestinal tract that can absorb whole nutrients
Modular
This type of formula contain predigested nutrients that are easy for a partially functional gastrointestinal tract to absorb
Elemental
This type of formula are whole-nutrient formulas and require a functioning gastrointestinal tract tht can absorb whole nutrients.
Polymeric
This type of formula meets specific needs of patients who have a particular disorder (HIV, Liver failure) and they are not necessarily formulated for a patient with a nonfunctioning gastrointestinal tract
Specialty formulas
A patient who has a dysfunctional GI tract requires what type of formula?
Elemental
A pt who is receiving enteral tube feedings in his room feels isolated. what should the nurse do?
1) Encourage him to go to the dining room at meal times to talk with other residents
2) Suggest that he watch television while his feedings are being administered
1) Encourage him to go to the dining room and socialize....
What is the most reliable method for verifying initial placemnt of a smal -bore feeding tube?
Obtaining an Abdominal x ray
If you were meauring the PH to verigy placement of a small bore feeding tube in a placement, what would you expect the the to be?
a ph between 1-4 indicating an acidic PH. The stomach contents are usually acidic so a higher ph would indicate that its in the respiratory tract or intestines.
A pt who reports a feeling of fullness during intermittent nasogastric tube feedings. Is this a normal finding?
A patient is experiencing persistant coughing during intermittent nasogastic tube feedings. Is this a normal finding?
NO! This could indicate that the distal end of teh nasogastric tube has moved into the respiratory tract
A pt who is receiving postfeeding belching is experiencing postfeeding belching. Is this normal?
