A patient who has had gastric surgery that affected the effectiveness of the alimentary system will be fed via a gastrostomy tube upon discharge to home. How would the nurse explain the rationale for this intervention?
1. A gastrostomy tube is less invasive than a jejunostomy tube.
2. Gastrostomy tubes are more cost effective than nasogastric feeding.
3. Gastrostomy feeding is less likely to produce side effects than parenteral nutrition.
4. Gastrostomy feeding is more supportive of the specialized diet the patient will require.
3
Rationale 1: The gastrostomy tube is as invasive as the jejunostomy tube.
Rationale 2: Gastrostomy tubes are not necessarily more cost effective than nasogastric feeding tubes.
Rationale 3: The purpose of a gastrostomy tube is to provide complete nutrition through the alimentary system. It is safer and has fewer side effects than total parenteral nutrition (TPN), particularly when the patient is to have feedings at home.
Rationale 4: Gastrostomy feeding is not necessarily more appropriate for specialized feeding needs.
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