What information should the nurse include in teaching parents to ...

[Deast7027]

What information should the nurse include in teaching parents to care for a child's gastrostomy tube at home?
 
  a. Never turn the gastrostomy button.
  b. Clean around the insertion site daily.
  c. Expect some leakage around the button.
  d. Remove the tube for cleaning once a week.

Question 2

Which nursing action is appropriate for specimen collection?
 
  a. Follow sterile techniques for specimen collection.
  b. Sterile gloves are worn if the nurse plans to touch the specimen.
  c. Use standard precautions when handling body fluids.
  d. Avoid wearing gloves in front of the child and family.

[asware1]

Answer to Question 1

B
The skin around the tube insertion site should be cleaned with soap and water once or twice daily. The gastrostomy button should be rotated in a full circle during cleaning. Leakage around the tube should be reported to the physician. A gastrostomy tube is placed surgically. It is not removed for cleaning.

Answer to Question 2

C
Standard precautions should always be used when handling body fluids. Specimen collection is not always a sterile procedure. Gloves should be worn if there is a chance the nurse will be contaminated. The choice of sterile or clean gloves will vary according to the procedure or specimen. The child and family should be educated in the purpose of glove use, including the fact that gloves are used with every patient, so they will not be offended or frightened.