Author Question: An older adult with difficulty using the dominant hand has a gastrostomy tube. Which should the ... (Read 129 times)

Pea0909berry · **on:** Jul 11, 2018

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.

Question 2

Which is one of the Ten Commandments of Case Management During Hospitalization?

a. Begin discharge planning on the day of hospitalization.
b. Keep an older adult in the hospital as long as necessary.
c. Accept the hospital discharge planner's (HDP) proposal for discharge.
d. Assist hospital personnel to focus on the admission complaint.

orangecrush · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

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.

Answer to Question 2

A

Feedback
A Correct. This is Commandment 9
B Incorrect. This is contrary to Commandment 8 . Hospitalization is dangerous to elders, so early discharge is to be encouraged.
C Incorrect. This is contrary to Commandment 6 . The case manager should nego-tiate with the HDP for the least restrictive level of care.
D Incorrect. This is contrary to Commandment 7 . Once the client is in the hospital, any conditions that the client may have been neglecting should also be assessed and treated.