A nurse is providing site care for a child who has a gastrostomy enteral tube. Which of the following actions should the nurse take?
Tape the tube to the child's cheek.
Apply water-soluble lubricant to the site.
Attach an extension tube to the site's opening prior to use.
Secure the tubing to the child's abdomen.
The Correct Answer is D
A. Taping the tube to the child's cheek is not a recommended practice. It can cause skin irritation, discomfort, or even accidental removal of the tube. Proper securing of the tube to the abdomen using appropriate devices is the preferred method to prevent dislodgement.
B. Applying water-soluble lubricant to the gastrostomy site routinely is not recommended because it can trap moisture, leading to maceration or infection.
C. Some gastrostomy tubes require an extension set for feeding, especially low-profile devices (e.g., button-type gastrostomy tubes). This extension makes it easier to administer feeds or medications and can be removed afterward. However, this is not typically part of routine site care.
D. Securing the tubing to the child's abdomen helps prevent accidental dislodgement or pulling of the gastrostomy tube. This can be done using appropriate securing devices, such as adhesive dressings or commercially available tube holders, as recommended by the healthcare provider.
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Naxlex Comprehensive Predictor Exams
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