The nurse is caring for a patient who is postoperative from having a gastrostomy tube placed. What should the nurse do on a daily basis to prevent skin breakdown?

A) Verify tube placement.
B) Loop adhesive tape around the tube and connect it securely to the abdomen.
C) Gently rotate the tube.
D) Change the wet-to-dry dressing.


Ans: C
Feedback:
The nurse verifies the tube's placement and gently rotates the tube once daily to prevent skin breakdown. Verifying tube placement and taping the tube to the abdomen do not prevent skin breakdown. A gastrostomy wound does not have a wet-to-dry dressing.

Nursing

You might also like to view...

What is exploratory-descriptive qualitative research? (Select all that apply.)

a. Research that is clearly qualitative but that does not espouse any distinct methodology b. Quantitative research that contains descriptions c. Research that contains elements of at least two other types of qualitative research d. Mixed methods research e. A non-method

Nursing

A client is seen in the emergency department in shock. X-rays reveal protrusion of a portion of the fetus through the maternal abdomen. The nurse hypothesizes that the client has experienced which of the following?

a. Placenta previa c. Abruptio placentae b. Uterine rupture d. Umbilical cord pro-lapse

Nursing

Which assessment finding obtained while taking the history of an older adult client alerts the nurse that the client needs further assessment for fluid or electrolyte imbalance?

a. "I am often cold and need to wear a sweater." b. "I seem to urinate more when I drink cof-fee." c. "In the summer, I feel thirsty more often." d. "My rings seem to be tighter this week."

Nursing

A unit is developing a protocol for research on medications. What factors need to be shared with the clients to ensure ethical nursing?

A) All aspects of the research study B) Problems that all other clients have had in the study C) Risks that can be encountered D) Cost of the research

Nursing