Percutaneous Endoscopic Gastrostomy Quiz!

To prevent the blockage of a PEG tube by medication, it is important to ensure that the tube is flushed before and after the medication administration. Flushing the tube before administering the medication helps to clear any residue or blockage in the tube, ensuring that the medication can flow freely. Flushing the tube after medication administration helps to clear any remaining medication or residue from the tube, preventing it from drying and causing a blockage. Administering medicine together with feeding or aspirin does not address the issue of preventing blockage and may even increase the risk of blockage.

To prevent tube blockage due to medicine administration, it is important to ensure that the tube is flushed before and after administration. Flushing the tube helps to clear any residue or medication that may be left behind, reducing the risk of blockage. This ensures that the medication can flow smoothly through the tube without any obstructions, allowing for effective administration and preventing any complications that may arise from blockage.

The explanation for the given correct answer is that the dry dressing should be replaced daily using aseptic technique until the stoma site shows no signs of infection. This is because most infections can be treated with antiseptic measures and daily dressing changes using aseptic techniques. It is important not to replace the dressing with an occlusive type, as this can hinder the healing process. Therefore, the statement is true.

The correct answer is to stop the feeding and report it to the TulipHCC Nursing Department Head and the patient's relatives. This is because the patient is exhibiting signs of irritation, guarding his abdomen, and vomiting, which could indicate a potential complication or intolerance to the feeding. It is important to stop the feeding to prevent further discomfort or harm to the patient and to notify the relevant healthcare professionals and family members for further assessment and intervention.

The correct answer is 24 hours. This is because feeding bags are typically designed to be used for a specific duration, and in this case, it is recommended to use the feeding bag for a maximum of 24 hours. Using it for longer than that may increase the risk of contamination or spoilage of the food inside the bag, which can be harmful to the patient. Therefore, it is important to follow the recommended time frame to ensure the patient's safety and well-being.

To ensure that the drug is completely cleared from the tube, it is recommended to flush between drugs with at least 10 mL of water when administering more than one medicine. This helps prevent any potential interactions between the drugs and ensures that each medication is delivered effectively. Flushing the tube with water also helps to maintain the integrity of the medication and prevent any residue from previous drugs from affecting the efficacy of the subsequent ones. Therefore, the statement is true.

Tube feeding containers and tubing should always be discarded after 24 hours. This is because of the risk for bacterial growth.

Cold formula can cause gastric cramping because cold liquids can cause the muscles in the stomach to contract, leading to discomfort and cramping. Keeping the tube feeding at room temperature ensures that it is at a comfortable temperature for the patient and reduces the risk of gastric cramping.

The correct answer is to ask the Dietician to modify the order since Mr. Ibrahim has a fluid restriction. This is because Mr. Ibrahim has been diagnosed with Chronic Kidney Failure and has a fluid restriction of 1 liter per day. However, the Dietician has ordered a PEG tube feeding of 1500 Kcal, which may not be suitable considering the fluid restriction. Therefore, it is important to clarify and modify the order to ensure that Mr. Ibrahim's fluid intake is within the prescribed limits.

If the nurse is unable to instill the fluid into the feeding tube, the next action should be to check the tubing or reposition the patient. This is because there may be a blockage or kink in the tubing that is preventing the fluid from flowing through. By checking the tubing, the nurse can identify and resolve any issues that may be causing the problem. Repositioning the patient may also help to alleviate any obstructions in the tubing and allow for proper instillation of the fluid.

To prevent the possible dislodging of the PEG tube when re-positioning the patient, it is important to disconnect the feeding bag from the PEG tube. This ensures that there is no tension or pulling on the tube during the re-positioning process, reducing the risk of it becoming dislodged. Removing all of the pillow prior to patient turning and stopping the enteral pump before and after re-positioning may be important for other reasons, but they do not directly address the prevention of dislodging the PEG tube.

A gastric residual of 250 mL would require follow-up because it indicates that the patient is not effectively digesting and absorbing the enteral feeding. This could be a sign of gastrointestinal dysfunction or inadequate feeding administration. Follow-up is necessary to assess the patient's tolerance to the feeding and to determine if any adjustments need to be made to the feeding regimen.

Before and after administering feed through a PEG tube, it is recommended to flush the tube with at least 30 mL of water. Flushing the tube helps to ensure that the tube is clear of any residue or blockages, and it also helps to prevent any potential complications or infections. Therefore, it is important to use at least 30 mL of water for flushing the PEG tube.

To avoid enteral feeding interaction with phenytoin, the feeding should be stopped 1-2 hours prior to its administration. This is because phenytoin can bind to the enteral feeding and reduce its absorption. By stopping the feeding for 1-2 hours, it allows enough time for the drug to be absorbed properly without any interference from the feeding.

If stomach residual is less than 100 cc, the feeding should be administered. If there was more than 100 cc of residual, the feeding would be held and the MD would be notified for further orders.

The correct answer is a combination of three actions that should be taken prior to the administration of feeding formula. First, the nurse should explain and discuss the procedure with the patient, ensuring that they understand what will happen. This is important for patient education and informed consent. Second, the nurse should check the date on the feed container to ensure that it is not expired, as using expired formula could be harmful to the patient. Finally, the nurse should shake the feed container gently to ensure that the formula is well-mixed and ready for administration. These steps help ensure patient safety and the effectiveness of the feeding procedure.

The patient is currently receiving intermittent tube feedings of 120 mL every 6 hours. The physician's orders state to increase the feeding rate to 240 mL every 6 hours per feeding tube, based on patient tolerance. Diarrhea, abdominal distention and discomfort, flatulence, and a residual volume greater than 200 mL are all signs of patient intolerance to the tube feeding. These symptoms indicate that the patient is unable to tolerate the increased rate of feeding and therefore the rate should not be increased. Thirst is not a symptom of intolerance to tube feeding and therefore does not indicate an inability to increase the rate.

Vomiting can increase the risk for spontaneous enteral tube dislocation because the forceful contraction of the abdominal muscles during vomiting can potentially dislodge the tube. Frequent nasotracheal suctioning can also increase the risk as it may cause movement or displacement of the tube during the suctioning process. Nausea and ambulation are not directly associated with an increased risk of enteral tube dislocation.