The home care nurse is assessing management of the patient's gastrostomy. Which of the following statements indicates that the patient is managing the tube correctly?
A) " I clean my stoma twice a day with alcohol."
B) " I am placing sterile dressings on my stoma site."
C) "I am flushing my tube with 30 mL of water after my feeds."
D) "I have been giving my medications all at the same time to avoid hassle."
Ans: C
Feedback: The tube should be flushed after each feed with 15 to 30 mL of water. Routine site care should include cleansing the site daily with soap and water. Clean dressing changes are acceptable. Medications should be given separately, flushing in between.
You might also like to view...
The nurse is reviewing the care of an 89-year-old client who is dying of a brain tumor from metastatic cancer. The client is lethargic, has slurred speech, but seems to be aware of people and surroundings
The nurse provides instruction to the nurse aide to provide oral care. What would the nurse include in the instruction to the nurse aide? 1. Use alcohol-based mouthwash to keep secretions down 2. Keep the client's dentures in at all times 3. Rinse the mouth with water and ask the patient to swish and swallow 4. Provide mouth care several times a day with a non-alcohol-based solution or water
A client tells the nurse they are nervous about taking prescribed verapamil (Calan). Which response should the nurse provide the client?
A. "This prescription is safe, and most patients do very well with it." B. "This prescription increases your blood pressure, but we will be monitoring that." C. "This prescription has many side effects, but you should be okay." D. "This prescription is a potassium channel blocker and is considered safe."
What nursing recommendations are published in the Institute of Medicine (IOM's) report The future of nursing: Leading change, advancing health?
a. Teach, advocate, assess, and nurture. b. Should have a graduate degree to practice. c. Diagnose and recommend treatments. d. Must have continuing education.
Which client should be treated with ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) by mouth?
1. A pregnant client with syphilis 2. A nonpregnant client with gonorrhea and chlamydial infection 3. A pregnant client with gonorrhea and a yeast infection 4. A nonpregnant client with chlamydial infection and trichomoniasis