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The Insides Neo
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1. What does CRT with The Insides Neo involve?
a) An open system where chyme is manually syringed into the intestine.
b) A closed system, assembled with the ostomy appliance.
c) Direct injection of nutrients into the bloodstream.
d) A surgical procedure to remove a portion of the intestine.
2. The Insides Neo is suitable for which type of patients?
a) Patients with any type of intestinal issue.
b) Pediatric patients with a loop enterostomy, abcarian enterostomy, or end enterostomy with mucous fistula.
c) Adult patients recovering from intestinal surgery.
d) Patients who have not started solid foods.
3. Which of the following is a contraindication for using The Insides® Neo?
a) The patient has two available stomal openings.
b) The patient has started solid foods.
c) The patient needs chyme to be refed into their distal limb.
d) The patient does have a carer.
4. What should be done prior to reinfusing with The Insides Neo?
a) Skip reading the Instructions for Use to save time.
b) Ensure a patient clinical risk assessment is carried out.
c) Assume the patient's distal tract is patent without evaluation.
d) Only use specific feeding tubes.
5. What is the suggested size for a generic ENFit™ feeding tube used with The Insides Neo?
a) 20 Fr
b) 6 Fr or 8 Fr
c) 12 Fr
d) Any size will work.
6. What should be done if a patient experiences pain during installation or use of The Insides® Neo?
a) Discontinue use and perform a clinical assessment.
b) Ignore the pain as it is likely normal.
c) Administer pain medication and continue use.
d) Loosen the appliance and wait for the pain to subside.
7. How often should abdominal distention and discomfort be assessed when using The Insides® Neo?
a) Once a day.
b) Every 4–6 hours.
c) Only if the patient complains.
d) Every 12 hours.
8. What should be done if a patient has a high chyme output and is showing signs of reflux from the distal mucus fistula?
a) Increase the refeeding rate.
b) Reduce the refeeding rate to allow chyme to be absorbed.
c) Administer medication to stop chyme production.
d) Continue the current rate, as the patient will adjust.
9. On average, how often should The Insides Neo be used to withdraw chyme from the ostomy appliance?
a) Every 1-2 hours
b) Every 4-6 hours
c) Every 12 hours
d) Every 24 hours
10. What type of ostomy appliance should be used with The Insides Neo?
a) Any available ostomy appliance.
b) Hollister™ Newborn Pouch "Pouchkins™" or a Coloplast® "SenSura® Mio Baby".
c) Adult ostomy bags.
d) Custom-made appliances only.
11. How long can The Insides Neo be used for?
a) Up to 24 hours
b) Up to four days
c) Up to one week
d) Indefinitely if properly cleaned
12. What is recommended for reinfusing a patient's chyme via The Insides Neo?
a) Manual bolus injection
b) A syringe infusion pump
c) Gravity drip
d) Any method is acceptable
13. What should be done if a bowel movement has not occurred within three days of starting chyme reinfusion with The Insides Neo?
a) Continue waiting, as bowel movements can take longer.
b) Administer a laxative.
c) An urgent assessment is required.
d) Switch to a different reinfusion method.
14. How often should patients be assessed for abdominal distention and discomfort?
a) Every shift change
b) A minimum of every 4-6 hours
c) Once daily
d) Only if the patient reports discomfort
15. What is a risk associated with TPN?
a) Low glucose levels
b) Line infections
c) Improved liver function
d) Enhanced bowel movements
16. For ease and efficiency during assembly, what should you do?
a) Apply lubricating jelly to the adaptor on the Coloplast device/Housing on the Hollister device
b) Run the device under water
c) Apply lubricating jelly to the Housing on the Coloplast device/Adaptor on the Hollister device
d) No need to worry, it’s easy
Please attempt the quiz again to get 100% correct for your certificate.
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