The nurse is caring for a baby who has just had a surgical repair of an esophageal atresia with tracheoesophageal fistula. It is most important for the nurse to position the gastrostomy tube in which of the following ways?

a. pinned to the bed sheet c. even with the bed
b. elevated d. lowered


B

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A Incorrect. The nurse would not pin the gastrostomy tube to the bed sheet.
B Correct. The nurse is caring for a baby who has just had a surgical repair of an esophageal atresia with tracheoesophageal fistula. It is most important for the nurse to elevate the gastrostomy tube to allow gastric secretions to flow into the small intestine and air to escape. This position promotes comfort and decreases the risk of leakage at the anastomosis.
C Incorrect. The nurse would not position the gastrostomy tube even with the bed.
D Incorrect. The nurse would not position the gastrostomy tube in a lowered position.

Nursing

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