The nurse instructs the new orientee to care for the gastrostomy site. Which items should the nurse include in her teaching? (Select all that apply.)
a. Cleanse the site with Betadine.
b. Place the dressing under the external bar.
c. Assess the site for evidence of drainage or infection.
d. Apply a thin layer of skin barrier to exit site.
C, D
The site should be cleansed with soap and water and assessed for excoriation, drainage, infection, or bleeding. The nurse should apply a barrier protective cream if ordered. The dressing goes over the external bar. Placing it under the bar can cause tissue erosion.
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