• The assignment must be TYPED in order to be graded.
• Handwritten assignment will be given 0 points.

Instructions

1. Create an APA-style Title Page for this assignment. (2 points will be DEDUCTED for inaccurate Title page  

from total earned points)   

2. Formulate the following seven Article References (see below) in accurate APA format.  

3. Construct an APA-style Reference Page, putting APA-formatted seven article references in alphabetical order. (4 points for each reference)

4. Use the Alphabetized APA-style REFERENCE PAGE to fill in the IN-TEXT citations on the next page. (6 points for each in-text citation)

For the Following Sentences:

• Fill in the blanks based on correctly citing the sources indicated from alphabetized APA-STYLE REFERENCE PAGE YOU CREATED.
• Do NOT change the contents of the original sentences.

• Carefully follow APA rules for IN-TEXT citations (6 points each).

1. When administering medications through a feeding tube, it is recommended that sustained/extended-release drugs should be avoided. Crushing these medications can result in rapid release of a large amount of product at one time, resulting in erratic blood levels and possible toxic levels of the drug _____.  (Cite source 1 for the first time )
2. The gold standard for checking feeding tube placement is radiography; an electro-magnetic tube-placement device (ETPD) is sometimes used in lieu of an x-ray for this purpose. However, many cases have been reported where clinicians failed to recognize tube misplacement in the respiratory tract of patients. “Thus, one must continue to question the wisdom of eliminating radiographic confirmation of tube position before starting feedings” _______.  (Cite source 4 for the first time, p. 157)
3. Between 2013-2015, the database reported that there had been 25 cases of feeding tubes inadvertently placed in the respiratory tract using ETPD; 17 of these cases resulted in pneumothorax _______.(Cite source 4 for the second time)

4. ______assessed nurses’ knowledge of evidence-based guidelines for administering medications per feeding tube in patients receiving enteral feedings and preventing complications such as tube clogging and drug-nutrient interactions. (Cite source 1 for the second time)
5. Similarly, ______ reviewed the literature “to determine gastrointestinal absorption of medications administered via post-pyloric enteral feeding tubes” (Cite source 3, p. 549)
6. An educational intervention for care of gastrostomy tubes was developed for nurses from two nursing homes because there were approximately 22 long-term feeding tubes replaced monthly because they were clogged or dislodged ______. (Cite source 6 the first time)
7. In the 4 months after nurses were educated about long-term management of feeding tubes, the number of gastrostomy tubes replaced from two nursing homes decreased from 38-19 cases _______. (Cite source 6 for the second time)  

8. After initiation of a nurse-led enteral feeding protocol, “more patients achieved their caloric target within a    shorter time after admission to the ICU” _____.  (Cite source 5 for the first time, p. 42)
9. ICU patients received a higher daily volume of tube feeding and fewer interruptions of feeding after the nurse-led protocol was implemented ______. (Cite source 5 for second time)
10. About 24 % of hospitalized pediatric patients require a nasogastric tube (NGT) and about 18% of those patients are in a pediatric intensive care unit _____. (Cite source 2 for the first time).
11. Although the gold standard for verifying nasogastric tube placement has been an abdominal radiograph, pediatric health care providers have long been concerned about the long-term cumulative effects of radiation exposure _____. (Cite source 2 for second time)
12. Blockages of feeding tubes are frequently the result of inadequate flushing or poorly crushed medications being administered through the tube ___. (Cite source 7 for the first time)