26 a nurse is instructing a patient how to administer

26. a nurse is instructing a patient how to administer cyclic feeding's at home what should
the nurse include in the teaching
27. what are appropriate nursing interventions for a patient receiving enteral feedings with
malnutrition
28. which of the following are appropriate interventions for a patient receiving intermittent
enteral feedings
29. What would be included in the plan of care for a patient with PPN 30. which of the following is an appropriate statement for education on fat added to TPN
a. concentration of lipid emulsion can be up to 30%
b. Fat added gives milky appearance
c. check for allergies to soybean oil
d. lipid added prevents essential fatty acid deficiency
31. appropriate statements for Education about medication compatibility with TPN 32. a nurse notices a layer of fat floating in an IV bag what should the nurse do 33. a nurse is caring for a patient receiving TPN but the next back for administration is not
available at this time what should the nurse do
34. A nurse is teaching a patient about aluminum hydroxide what should the RN include in
the teaching
35. a nurse is teaching a patient about omeprazole what should the nurse include in the
teaching

MEDS
● PPIs
○ Omeprazole
○ Esomeprazole
○ Action: Antiulcer; Blocks basal and stimulated acid production and reduces
gastric acid secretion by irreversibly inhibiting enzyme that produces gastric
○ therapeutic use: short-term therapy of gastric and duodenal ulcers, erosive
esophagitis, and GERD
○ Treatment is limited to 4-8 weeks
○ long-term therapy of hypersecretory conditions
○ prevention of stress ulcers for at-risk patients
○ Complications
■ pneumonia, osteoporosis fractures, rebound acid hypersecretion,
hypomagnesemia (S&S: Tremors, muscle cramps, seizures), c-diff
○ Nursing Administration
■ do not Crush, chew, or break open and sprinkle capsule on food
■ take omeprazole once a day prior to eating in the morning
■ Interact with commonly prescribed medications such as diuretics and
clopidogrel
● Mucosal protectant (anti ulcer agent)
○ Sucralfate
○ Action: acidic environment of stomach and duodenum changes sucralfate into
protective barrier that adheres to ulcer
■ protects ulcer from further injury
○ therapeutic uses:
■ treatment of acute duodenal ulcers and maintenance therapy
■ neutralize and reduce acidity of gastric acid
○ Complications: no systemic effect because it is minimally absorbed and mostly
eliminated in poop
○ Administration
■ take 4x/ day 1 hour BEFORE each meal and again at bedtime
■ If needed you can break or dissolve in water but do not crush or chew
● Antacids
○ Maalox
○ TUMS
○ Mylanta
■ Aluminum hydroxide, magnesium, hydroxide, and simethicone (Maalox)
○ Action: neutralizes or reduces activity of gastric acid; can reduce pepsin activity
■ mucosal protection can occur from stimulation of production of
prostaglandins
○ therapeutic uses: treatment of PUD, prevention of stress induced ulcers, GERD