When administering a gavage feeding to a school-age child, the ...

[saraeharris]

When administering a gavage feeding to a school-age child, the nurse should:
 
  a. lubricate the tip of the feeding tube with Vaseline to facilitate passage.
  b. check the placement of the tube by inserting 20 ml of sterile water.
  c. administer feedings over 5 to 10 minutes.
  d. position on right side after administering feeding.

Question 2

The nurse is teaching a mother how to perform chest physical therapy and postural drainage on her 3-year-old child, who has cystic fibrosis. To perform percussion, the nurse should instruct her to:
 
  a. cover the skin with a shirt or gown before percussing.
  b. strike the chest wall with a flat-hand position.
  c. percuss over the entire trunk anteriorly and posteriorly.
  d. percuss before positioning for postural drainage.

[Zack0mack0101@yahoo.com]

Answer to Question 1

ANS: D
Position the child with the head elevated about 30 degrees and on the right side or abdomen for at least 1 hour. This is in the same manner as after any infant feeding to minimize the possibility of regurgitation and aspiration. Insert a tube that has been lubricated with sterile water or water-soluble lubricant. With a syringe, inject a small amount of air into the tube, while simultaneously listening with a stethoscope over the stomach area. Feedings should be administered via gravity flow and take from 15 to 30 minutes to complete.

Answer to Question 2

ANS: A
For postural drainage and percussion, the child should be dressed in a light shirt to protect the skin and placed in the appropriate postural drainage positions. The chest wall is struck with a cupped-hand, not a flat-hand position. The procedure should be done over the rib cage only. Positioning precedes the percussion.

[saraeharris]

TYSM

[at]

Gracias!