Unit 2-A
   Unit 2-B
   Unit 2-C

Appendix A

Lab

Clinical

1. Preparation

1. The assignments can be found under Unit 2-B in the syllabus. SDLP # 9 includes Tube Feedings and GI suction.
2. Readings: Kozier- 920-924, 1204-1216
3. Video- Insertion of an NG tube and administration of tube feedings is on the NUR 104 Skills Video. Watch it home before lab.
4. Critical Thinking Questions-

1. Your client has a nasogastric tube and you are to give a tube feeding. Before starting the feeding you aspirate secretions from the tube. They are straw colored and have a pH of 7.4. Is the tube in the stomach? How do you know?

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

2. Your client is receiving bolus tube feedings every 4 hours. When you go in to give him the next feeding, he is complaining of a feeling of fullness. His bowel sounds are hypoactive. What further assessments would you make before giving the feeding?

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

3. You are inserting a nasogastric tube and meet resistance as you insert it through the left nostril. What would you do?

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

You have just finished inserting the nasogastric tube and you find that the client cannot speak. What happened?
 
 
 
 
 
 
 
 

4. Your client has just returned from having myelogram. His post procedure

orders include that he maintain bedrest with the head of the bed flat for 24 hours. He has an IV at 20cc/hour (keep vein open). He also has continuous tube feedings via a nasogastric tube at 60cc/hour. Would you hold the tube feedings?
 
 
 
 
 
 
 
 
 
 
5. Your client has been receiving continuous tube feedings via a Dobbhoff

Feeding tube (small bore). He has started vomiting and the doctor ordered you to connect the Dobhoff to low intermittent suction. Would you question the order?
 
 
 
 
 
 
 
 
6. Your client has been getting tube feedings via a G tube. You note that the skin around the G tube is red and irritated. What can cause this and what would you do about it?

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

7. Your client has a Salem sump tube connected to low intermittent suction. You note that there is no drainage in the collection bottle. List all the possible causes for this and what assessment you would make to determine if each problem (cause) exists:

1. Performance Test- You will be asked to demonstrate insertion of an NG tube and the administration of a continuous tube feeding via a feeding pump and also a bolus feeding through a G tube. You will also be asked to explain how to care for and what assessments you make for a patient with a salem sump hooked up to suction.
2. Written test- There is one written test that covers SDLP #8 and #9.
3. Computer- The client with Abdominal Pain- Inguinal Hernia
4.                   Med-Surg Mania- GI
5. You have the option of viewing the following video to enhance your learning: