11-63-372 Lab Worksheet
Nasogastric Tube Care & Enteral Nutrition
Central Line Care
*Due at beginning of lab.
1. What does the term nasogastric (NG) mean? ______
2. What are the purposes for NG tubes? ______
______
______
3. How do you measure a nasogastric tube for insertion? ______
______
4. What are the standard sizes for NG tubes? ______
______
5. What are the correct steps for anchoring a nasogastric tube? ______
______
6. For clients unable to eat orally, what alternatives are available? ______
______
7. What does percutaneously mean? ______
8. After a percutaneous enteral tube is placed and confirmed by x-ray, what does a typical order for feedings look like?______
______
9. For NG and percutaneously inserted tubes, what are the purposes for putting water in the tube? ______
10. Should percutaneously inserted tubes be able to move a little and rotate?
Yes_____ No _____
11. Percutaneously inserted tubes improve systemic immunity and lower risk of infection.
True_____ False_____
12. What does parenteral mean? ______
13. Total Nutritional Admixtures (TNA) or Total Parenteral Nutrition (or TPN) are delivered by what route? ______
14. Typical lab work for TNA or TPN includes the following: Folate, B12, Iron, Electrolytes, Magnesium, CBC, Ionized Calcium, Phosphate (P04), INR, PTT, Triglycerides, Glucose, Liver Function Tests, cholesterol, BUN (urea) and Creatinine.
Describe 3 of the tests that are new to you and relate them to the TNA or TPN (why they would be ordered). ______
______
______
______
15. For TNA / TPN and NG feedings, why would intake and output measures and auscultating lung sounds be necessary? ______
______
17. For TNA / TPN and NG feedings, why would a baseline and weekly weights be necessary? ______
______
18. For TNA / TPN and NG feedings, why would Q6H glucometer readings for 48 hours be necessary? ______
______
19. For TNA / TPN and NG feedings, why would Q8H temperature readings be necessary? ______
20. For TNA / TPN it is imperative that new tubing be used and that it have a 1.2 micron filter. Why would these protocols be necessary?
New tubing: ______1.2 micron filter:______
21. What is a central line? ______
22. Why are central lines used versus peripherally inserted angiocatheter intravenous devices? ______
23. Can Level 3 student nurses access central lines? (see Policies for Years 1, 2, and 3 BScN Nursing Students’ Experience in Essex-Kent-Lambton County Hospitals, 20.0 IV Therapy) Yes______No_____
23. Can Level 3 student nurses change dressings for central lines? (see Policies for Years 1, 2, and 3 BScN Nursing Students’ Experience in Essex-Kent-Lambton County Hospitals, 20.0 IV Therapy) Yes______No_____
63-372LabWorksheetNG.EnteralFeeds.CentralLines.BMcLaughlinFall07