A patient is postoperative day 1 following gastrostomy. The nurse is planning interventions to address the nursing diagnosis of Risk for Infection Related to Presence of Wound and Tube. What intervention is most appropriate?
A) Administer antibiotics via the tube as ordered.
B) Wash the area around the tube with soap and water daily.
C) Cleanse the skin within 2 cm of the insertion site with hydrogen peroxide once per shift.
D) Irrigate the skin surrounding the insertion site with normal saline before each use.
Ans: B
Feedback:
Infection can be prevented by keeping the skin near the insertion site clean using soap and water. Hydrogen peroxide is not used, due to associated skin irritation. The skin around the site is not irrigated with normal saline and antibiotics are not administered to prevent site infection.
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