Question

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

Ans-

46) nursing intervention-

1)Administer the basal and prandial insulin.

2)Watch out for signs of morning hyperglycemia.

3)Teach patient how to perform home glucose monitoring.

4)Report BP of more than 160 mmHg.

5)Instruct the patient to avoid heating pads and always to wear shoes when walking.

47)First make a certain that the patient is allowed to select items from within choices on a medically ordered diet to ensure foods that the patient likes.

1) to promote best practice on your ward.

2)Introduce programs, such as protected meal times which minimises disruptions to the meal times or use identifiers such as red trays or domes to identify which patients need assistance during meals.

3)Use volunteer programs to optimise intake.Ask the speech pathologist for advice on food modification for patients with swallowing issues.

4)Discuss with the dietitian introducing high calorie and high protein foods that can assist a patient increase their weight.

5)Involve the patient in setting weight and calorie goals. Placing the patient at the centre of their care will assist in achieving clinical outcomes.

6)Ask the patient what foods they like to eat. If the patient’s family wants to bring meals from home, advise them on choosing nutrient-dense foods.

7)Check if meals are culturally appropriate.

Ans-48) supplies -

1)NGtube

2)Water-soluble lubricant (if your tube does not self-lubricate)

3)Cloth tape

4)Adhesive dressing, such as Tegaderm™ or DuoDERM®

5)5 or 10 milliliter syringe

6)pH paper

52)ENFit is the unique international standard design for enteral devices and will promote better patient safety and help to ensure that connectors for unrelated delivery systems are incompatible.