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

A) Verify tube placement.
B) Place an adhesive strip around the tube and firmly connect it to the abdomen.
C) Gently manipulate the tube or stabilizing disk.
D) Change the wet to dry dressing.


Ans: C
Feedback: The nurse verifies the tube's placement and gently manipulates the tube or stabilizing disk once daily to prevent skin breakdown. Verifying tube placement does not prevent skin breakdown. Taping the tube to the abdomen also does not prevent skin breakdown. A gastrostomy wound does not have a wet to dry dressing.

Nursing

You might also like to view...

What alternative therapies have been found helpful for some patients with somatoform disorders? (Mark all that apply.)

A) Pharmacotherapy B) Massage therapy C) Herbal medicine D) Meditation E) Group therapy

Nursing

Which of these drugs would the nurse expect to administer for a sickle cell pain crisis?

1. Morphine sulfate (Duramorph) 2. Meperidine (Demerol) 3. Acetaminophen (Tylenol) 4. Ibuprofen (Advil)

Nursing

The nurse instructs a patient with melanoma to "eat foods rich in protein and calories.". This intervention is most likely associated with which nursing diagnosis?

1. Impaired Skin Integrity 2. Hopelessness 3. Anxiety 4. Fluid Volume Deficit

Nursing

An elderly client who had cholecystitis five months ago is returning to the clinic for follow-up care. The nurse concludes that one of the client goals was met when the client states which of the following?

1. "I have been able to gain 5 pounds on the new diet.". 2. "I have been walking 1 mile every day.". 3. "I have been dating.". 4. "I have increased my intake of fat.".

Nursing