Question

42. Explain the difference between a Salem sump tube and a Levine tube.

43. How do you prevent air from entering the tube during instillation of a bolus tube feeding by gravity?

44. You are caring for a patient with a nasogastric (NG) tube to low intermittent suction. What are your nursing responsibilities for NG tube care?

45. How is binge eating disorder different than bulimia nervosa?

46-A patient’s finger stick blood sugar (FSBS) is 45 mg/dL. The patient is conscious, but it is more than 2 hours until the next meal. What interventions should you perform?

47. How can you encourage optimal intake while assisting a patient with a meal?

48. What supplies should you gather prior to inserting an NG tube and attaching low, intermittent suction?

49. What tips can you provide the patient to ease the insertion of an NG tube?

50 Why would it be unsafe to use a petrolatum product, such as Vaseline, for lubrication of an NG tube?

51. What are the various methods used to verify tube placement prior to instillation of anything into the NG tube?

52 How will ENFit connectors promote patient safety?

53 You suspect a patient is experiencing hypoglycemia. What are the signs and symptoms for which you should assess? List at least six. If you find several of these signs and symptoms,

Answer 1

42.The difference between Salem sump tube and Levine tube are as following

Salem sump tube	Levin tube
It has two lumen in the tube Pig tail is present One lumen is used for suctioning and other linen is an airvent Commonly used for continuous suctioning It can maintain the normal vacuum pressure or air pressure in the stomach	It has one lumen in the tube No pig tail The one linen is used for suctioning It has multiple orifices in the end It is commonly used to instill medications and occasional or intermittent suctioning It does not maintain the abdominal pressure

43.The rate of air entering the tube during installation is high this can be be best prevented by simply pinching or folding the tube near the end of lumen.

44.The nursing responsibility for NG tube care are

• Monitor and assess the position of the tube in every shift and before every feed or any procedures
• Keep the tube patent by flushing after each feed
• Secure the tube on the forehead or at upper chest as per the organization standard to prevent dislocation or dislodgement accidentally
• Provide oral care
• Assess the skin periodically for any erosion or peeling
• Apply moisturizer on the lips to prevent dryness .Also patient can be encouraged to swallow saliva to keep the throat moist and prevented irritation due to dryness
• Maintain intake and output chart
• Monitor the tube for any drainage or leaks .

45.Binge eating disorder in simple refers to overeating at one time .They try to eat as much as they can even without being really hungry in very short time .They don't have a feeling you stop eating .

In Bulimia nervosa too the patient often overeat but in order to avoid weight gain ,extra calories they purge or vomit it out after every intake .This is often life threatening .