Percutaneous Endoscopic Gastrostomy Quiz!
- 1.
Your patient has a PEG tube and you are about to administer a feeding. While checking residual you obtain 95 ml of stomach contents. What would be your next nursing intervention?
- A.
Hold the feeding and immediately notify the MD of the assessed amount of residual
- B.
Administered the scheduled feeding
- C.
Wait 30 minutes and reassess residual
- D.
Skip this scheduled feeding and administer the next feeding due in 6 hours
Correct Answer
B. Administered the scheduled feedingExplanation
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.Rate this question:
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- 2.
Mr. Ibrahim has a PEG tube and you are about to administer a tube feeding using the feeding pump. You note that the last feeding tube hanging on the pole is labeled October 26 and today's date is October 28. Which nursing action is correct.
- A.
Immediately discard the tubing and open a new package of tubing before proceeding with the feeding
- B.
Continue to administer the feeding because the tubing is good for 4 days
- C.
Change the adapter cap at the end of the tubing
- D.
Notify the MD for further orders
Correct Answer
A. Immediately discard the tubing and open a new package of tubing before proceeding with the feedingExplanation
Tube feeding containers and tubing should always be discarded after 24 hours. This is because of the risk for bacterial growth.Rate this question:
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- 3.
How to prevent tube blockage due to medicine administration?
- A.
Administer medication with feeding.
- B.
Ensure that the tube is flushed before and after administration.
- C.
Administer medication together with liquid form medicine.
Correct Answer
B. Ensure that the tube is flushed before and after administration.Explanation
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.Rate this question:
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- 4.
How much volume of water do you need to flush to the PEG tube before and after administration of feed?
- A.
10 mL
- B.
At least 30 mL
- C.
15 mL
- D.
At least 20 mL
Correct Answer
B. At least 30 mLExplanation
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.Rate this question:
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- 5.
Patient Ibrahim is on 24 hours Jevety PEG feeding. How many hours you need to stop the feeding prior to the administration of phenytoin to avoid enteral feeding interaction?
- A.
3 hours
- B.
30 minutes
- C.
1 - 2 hours
Correct Answer
C. 1 - 2 hoursExplanation
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.Rate this question:
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- 6.
If more than one medicine is to be administered, flush between drugs with at least 10 mL of water to ensure that the drug is cleared from the tube.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 7.
Mr. Ibrahim will be discharged from the hospital with a diagnosis of Chronic Kidney Failure with order of fluid restriction of 1 Liter per day. The Dietician ordered a PEG tube of 1500 Kcal. 60 ml/ hour feeding and flushing of 100 ml water every 2 hours. What would you want to clarify to Dietician?
- A.
Inform the hospital staff Nurse to change the Jevety.
- B.
Ask the Dietician to modify the order since the has fluid restriction.
- C.
Decrease the flushing of water to 20 mL/hour.
Correct Answer
B. Ask the Dietician to modify the order since the has fluid restriction.Explanation
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.Rate this question:
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- 8.
What would be your Nursing procedure to prevent the blockage of PEG tube by medication?
- A.
Administer medicine together with feeding.
- B.
Administer medicine together with Aspirin.
- C.
Ensure that the tube is flushed before and after the medication administration.
Correct Answer
C. Ensure that the tube is flushed before and after the medication administration.Explanation
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.Rate this question:
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- 9.
The tube patency should be checked to ensure that the medication has not caused a blockage. This could be done by flushing the tube.
- A.
True
- B.
False
Correct Answer
A. True -
- 10.
Nursing procedure prior to administration of feeding formula?
- A.
Explain and discuss the procedure with the patient.
- B.
Check the date on the feed container.
- C.
Shake the feed container gently.
Correct Answer(s)
A. Explain and discuss the procedure with the patient.
B. Check the date on the feed container.
C. Shake the feed container gently.Explanation
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.Rate this question:
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- 11.
During the PEG Tube feeding of patient Ibrahim, you notice that he is irritable, guarding his abdomen and vomited. What would be your initial intervention?
- A.
Continuous run the feeding and observe for the bowel movement.
- B.
Stop the feeding and report it to TulipHCC Nursing Department Head and Patient's relatives.
- C.
Flush 100 mL water and adminnister pain reliever.
Correct Answer
B. Stop the feeding and report it to TulipHCC Nursing Department Head and Patient's relatives.Explanation
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.Rate this question:
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- 12.
For how long you will use the feeding bag?
- A.
36 hours
- B.
24 hours
- C.
12 hours
Correct Answer
B. 24 hoursExplanation
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.Rate this question:
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- 13.
The dry dressing should be replaced daily using aseptic technique until the stoma site has no erythema or exudates or any other signs of infection. Most forms of infection can be readily treated by means of antiseptic measures and daily change of dressing using aseptic techniques. Do not replace the dressing with an occlusive type.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 14.
How to prevent the possible dislodged of the PEG tube when re-positioning of the patient?
- A.
Remove all of the pillow prior to patient turning.
- B.
Disconnect the feeding bag from the PEG tube prior to re-positioning of the patient.
- C.
Stop the enteral pump before and after the re-positioning.
Correct Answer
B. Disconnect the feeding bag from the PEG tube prior to re-positioning of the patient.Explanation
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.Rate this question:
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- 15.
Which of the following, if exhibited by the patient, may increase the risk for spontaneous enteral tube dislocation? (Select all that apply.)
- A.
Nausea
- B.
Ambulation
- C.
Vomiting
- D.
Frequent nasotracheal suctioning
Correct Answer(s)
C. Vomiting
D. Frequent nasotracheal suctioningExplanation
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.Rate this question:
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- 16.
Why is it important to have the tube feeding at room temperature?
- A.
It is unnecessary to keep the tube feeding cold because it will be hanging at room temperature anyway.
- B.
It aids the speed of digestion.
- C.
Cold formula can cause gastric cramping.
- D.
Cold formula may lower the patient's body temperature.
Correct Answer
C. Cold formula can cause gastric cramping.Explanation
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.Rate this question:
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- 17.
You are to irrigate the patient's established feeding tube with 30 mL of drinking water before instilling the tube feeding. Upon attempting to do so, you find that you are unable to instill the fluid. What should your next action be?
- A.
Notify the physician.
- B.
Irrigate the tubing with soda, such as Coca-Cola.
- C.
Check the tubing or Reposition the patient.
- D.
Use a smaller-sized syringe with the plunger to push the fluid through the feeding tube.
Correct Answer
C. Check the tubing or Reposition the patient.Explanation
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.Rate this question:
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- 18.
The patient is presently receiving intermittent tube feedings of 120 mL every 6 hours. The physician's orders state: Jevity formula feeding 240 mL every 6 hours per feeding tube, increase per patient tolerance. Which of the following assessment data indicate patient intolerance of the tube feeding and therefore inability of the rate to be increased? (Select all that apply.)
- A.
Diarrhea
- B.
Abdominal distention and discomfort
- C.
Flatulence
- D.
Thirst
- E.
Residual volume greater than 200 mL
Correct Answer(s)
A. Diarrhea
B. Abdominal distention and discomfort
C. Flatulence
E. Residual volume greater than 200 mLExplanation
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.Rate this question:
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- 19.
The patient is receiving a continuous enteral feeding. Which of the following assessment findings would require follow-up?
- A.
Gastric residual of 250 mL
- B.
Bowel sounds present in all 4 quadrants
- C.
PH of gastric contents 5.0
- D.
Less than 10 mL of aspirate from NI tube
Correct Answer
A. Gastric residual of 250 mLExplanation
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.Rate this question:
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Current Version
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Aug 18, 2023Quiz Edited by
ProProfs Editorial Team -
Oct 25, 2017Quiz Created by
Junell
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