An order to initiate TF was written for a patient in ICU: "Start Jevity 1.2 as...

An order to initiate TF was written for a patient in ICU: "Start Jevity 1.2 as tolerated. Goal rate is 50 cc/hr." The nurse should do the following:

Select one:

a. Start the TF via the NG tube at 1.2 ml/hr and check the residuals after 4 hours

b. Start the tube feeding infusion at 50 cc/hr and check the residuals after 2 hours

c. Check the bowel sounds and start TF at 10 cc/hr if +BS

d. Check the residuals before starting the tube feeding

e. none of the above

Solutions

Expert Solution

Answer: c) Check the bowel sounds and start TF at 10 cc/hr if +BS.

10cc is the adequate amount to start tube feeding when the goal is 50cc/hr. Bowel sound( BS) to be checked before feeding. Hold the feeding and notify the physician if there is no bowel sound.

1.2ml/hr is too low to reach 50cc/hr . The goal is 50cc/hr, so it should not starts with rate lower than 50cc. residual amount needs to be checked every 4hours of feeding to assess the tolerance of the feed.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

The nurse has an order to start the patient on continuousformula tube feedings at 70...

The nurse has an order to start the patient on continuous formula tube feedings at 70 mL/hr. The nurse starts the feeding at 0800 through a feeding pump but stops the feeding at 1100 for 1 hour. At 1200, the nurse restarts the feeding at the same rate. At 1500, the nurse calculates the formula intake for the 0700 to 1500 shift. What is the formula feeding intake?

1. Your patient has a fluid restriction order of 1.2 liters/day. The bedside cup that the...

1. Your patient has a fluid restriction order of 1.2 liters/day. The bedside cup that the patient uses to drink from holds 240ml. How many fluid oz can the patient put into the bedside cup at one time? 2. Your patient was recently diagnosed with hypothyroidism. The doctor started the patient on Levothyroxine 125 micrograms per day. How many mg will be administered per week? Do NOT round answer. 3. A pediatric patient is admitted to the hospital with pneumonia....

An RN working in the Intensive Care Unit (ICU) is caring for a patient with an...

An RN working in the Intensive Care Unit (ICU) is caring for a patient with an acute gastrointestinal hemorrhage related to Hepatitis C liver damage that resulted from cocaine abuse. At the end of the shift, the outgoing RN states to the incoming RN, “I have been in that patient’s room all day, transfusing blood products. It’s such a waste of resources. Why should we even bother to treat him, since he will just be using cocaine again after discharge?”...

An RN working in the Intensive Care Unit (ICU) is caring for a patient with an...

Explain the policies necessary for a patient to initiate or terminate medical treatment. Include what the...

Explain the policies necessary for a patient to initiate or terminate medical treatment. Include what the physicians policies may be regarding the termination of the treatment with the patient.

1.2 Thomas has the following options in order of preference

1.1 When there are not enough resources to produce the desired goods and services, we say that there is.…a) Unemployment.b) A shortagec) Scarcityd) All of the above1.2 Thomas has the following options in order of preferencei. Go to campusii. Go to the beachiii. Stay home and play video games.If he chooses to go to campus, then his opportunity cost of doing so is represented by…a) i onlyb) ii onlyc) i and iid) i, ii and iii1.3 Efficiency is illustrated by…a)...

The ICU-Admissions dataset includes a variable indicating the age of the patient. Find and interpret a...

The ICU-Admissions dataset includes a variable indicating the age of the patient. Find and interpret a 90% confidence interval for mean age of ICU patients using the facts that, in the sample, the mean is 55.75 years and the standard error for such means is SE = 1.64. The sample size of 100 is large enough to use a normal distribution

A patient is admitted to the ICU with severe necrotizing pancreatitis. A few hours after admission,...

A patient is admitted to the ICU with severe necrotizing pancreatitis. A few hours after admission, he developed increasing oxygen requirements and was intubated for hypoxemic respiratory failure. Initially, his oxygen saturation improved to the mid-90% range on an FiO2 of 0.5 (50%), but in the past 2 hours, the nurse has had to increase the FiO2 back to 0.7 (70%) and his SaO2 is still in the lower 90% range. The patient remains on a PEEP of 5 cmH2O....

A patient is admitted to the ICU with severe necrotizing pancreatitis. A few hours after admission,...

A patient is admitted to the ICU with severe necrotizing pancreatitis. A few hours after admission, he developed increasing oxygen requirements and was intubated for hypoxemic respiratory failure. Intially, his oxygen saturation improved to the mid-90% range on an FiO2 of 0.5, but in the past 2 hours, the nurse has had to increase the FiO2 back to 0.7 and his SaO2 is still in the lower 90% range. The patient remains on a PEEP of 5 cmH2O. The respiratory...

Handoff report at 0800 “The patient is a young man who was transferred from the ICU...

Handoff report at 0800 “The patient is a young man who was transferred from the ICU yesterday. He was in a motor vehicle accident (MVA) 14 days ago. He had some head trauma and subsequent evacuation of a subdural hematoma. He is unconscious, unresponsive to painful stimuli, and has flaccid extremities. Pupils round, sluggish reaction to light. He has several abrasions on his face and several bruised areas on his shoulders and chest from the accident. Vital signs are T:...

Subjects