After surgery yesterday for gastroesophageal reflux, the nurse ...

[tsand2]

After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant has somehow removed the nasogastric (NG) tube. What nursing action is most appropriate to perform at this time?
 
  a. Notify the practitioner.
  b. Insert the NG tube so feedings can be given.
  c. Replace the NG tube to maintain gastric decompression.
  d. Leave the NG tube out because it has probably been in long enough.

Question 2

A parent of an infant with gastroesophageal reflux asks how to decrease the number and total volume of emesis. What recommendation should the nurse include in teaching this parent?
 
  a. Surgical therapy is indicated.
  b. Place in prone position for sleep after feeding.
  c. Thicken feedings and enlarge the nipple hole.
  d. Reduce the frequency of feeding by encouraging larger volumes of formula.

[aidanmbrowne]

Answer to Question 1

ANS: A
When surgery is performed on the upper gastrointestinal tract, usually the surgical team replaces the NG tube because of potential injury to the operative site. The decision to replace the tube or leave it out is made by the surgical team. Replacing the tube is also usually done by the practitioner because of the surgical site.

Answer to Question 2

ANS: C
Thickened feedings decrease the child's crying and increase the caloric density of the feeding. Although it does not decrease the pH, the number and volume of emesis are reduced. Surgical therapy is reserved for children who have failed to respond to medical therapy or who have an anatomic abnormality. The prone position is not recommended because of the risk of sudden infant death syndrome. Smaller, more frequent feedings are more effective than less frequent, larger volumes of formula.

[tsand2]

Thank you

[aidanmbrowne]

No problemo