Identify the image to give the answer?& x20; - NORCET 1 - 2020

NORCET 1 - 2020

Fundamental of Nursing

Easy

Appeared in: NORCET 1 - 2020

Explanation

The image shows a bag clearly labeled "Enteral Delivery System," which is a type of feeding bag.
Enteral nutrition (EN) is used for patients who have a functioning gastrointestinal (GI) tract but are unable to take food orally.
The bag's features, including volume markings, a hanger, and tubing with a drip chamber and roller clamp, are all characteristic of a gravity-fed enteral feeding system.
This method is preferred over parenteral nutrition when the GI tract is functional because it is safer, more physiological, and helps maintain gut integrity.

Option B: A TPN (Total Parenteral Nutrition) bag is used for intravenous feeding, delivering a sterile, specialized nutrient solution directly into the bloodstream. The bag in the image is explicitly for enteral (gastrointestinal) use.
Option C: An IV bag contains sterile fluids like normal saline or dextrose solutions for intravenous administration. It would not be labeled "Enteral Delivery System" and has different connector ports.
Option D: A urine bag is a collection device connected to a urinary catheter to collect urine. It has a completely different design, often with a drainage valve at the bottom, and is not used for administration of any substance.

Visual 1: Comparison Chart - An infographic comparing the appearance, labels, and connectors of an Enteral Feeding Bag, a TPN Bag, an IV Fluid Bag, and a Urine Bag to highlight key differences.
Visual 2: Diagram - A diagram showing the setup for enteral tube feeding, from the bag, through the pump (if used), to the nasogastric or gastrostomy tube, illustrating the path into the stomach.
Visual 3: Photograph - A close-up image of an ENFit® connector, explaining its role in preventing dangerous misconnections between enteral and IV systems.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of medical equipment for nutritional support as background academic context rather than a clinical decision trigger.
Patient Safety: The number one clinical priority is to distinguish enteral from parenteral (IV) lines. Administering enteral formula intravenously is a sentinel event that is often fatal. Always trace lines from the source to the patient before connecting or administering anything.
Aspiration Prevention: A key nursing responsibility during enteral feeding is to prevent aspiration pneumonia. This is achieved by confirming tube placement, keeping the head of the bed elevated (30-45 degrees), and monitoring for signs of intolerance like high gastric residual volumes.
What if?: What if the patient starts coughing and choking during the feeding? The nurse's first action would be to stop the feeding immediately, assess the patient's respiratory status, and suction if necessary. This could indicate tube displacement or aspiration.

How to Approach the Question

First, carefully examine the image for any text or labels. The words "Enteral Delivery System" are clearly visible and are the most important clue.
Next, analyze the components shown: a bag for fluid, tubing, and a clamp. This indicates a system for administering a liquid.
Consider the term "Enteral." This medical term refers to the gastrointestinal tract. Therefore, the device is for feeding into the stomach or intestines.
Evaluate the given options based on this analysis. "Feeding bag" is the most appropriate description for a device used for enteral nutrition.
Eliminate the other options by recalling their functions: TPN is intravenous nutrition, an IV bag is for intravenous fluids, and a urine bag is for collecting urine.

Concept Tested & Keywords

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