An older adult with difficulty using the dominant hand has a gastrostomy tube. Which should the nurse provide to prevent complications of the gastrostomy tube?
a. Use foam swabs to brush teeth.
b. Provide oral care every 4 hours.
c. Supply a soft tooth brush and floss.
d. Position at 90 degrees for tube feedings.
B
Feedback
A Incorrect. Foam swabs are ineffective tools to remove plaque regardless of the toothpaste.
B Correct. The nurse provides oral care every 4 hours and brushes the teeth after meals to decrease the microorganism count in the mouth of an older adult with a gastrostomy tube.
C Incorrect. Because this older adult has difficulty with the dominant hand, pro-viding oral care supplies can be a waste unless the nurse assists the older adult to maintain oral health with the supplies.
D Incorrect. The nurse positions the older adult at a 30- to 45-degree angle during tube feedings to facilitate gastric emptying.
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