Parents are being taught how to feed their infant using a newly ...

[appyboo]

Parents are being taught how to feed their infant using a newly placed gastrostomy tube (G-tube). What is essential information for the parents to receive?
 
  a. Verify placement before each feeding.
  b. Use a syringe with a plunger to give the infant bolus feedings.
  c. Position the infant on the right side during and after the feeding.
  d. Beefy red tissue around the G-tube site must be reported to the practitioner.

Question 2

Guidelines for intramuscular administration of medication in school-age children include what standard?
 
  a. Inject medication as rapidly as possible.
  b. Insert needle quickly, using a dartlike motion.
  c. Have the child stand if at all possible and if the child is cooperative.
  d. Penetrate the skin immediately after cleansing the site while the skin is moist.

[gasdhashg]

Answer to Question 1

ANS: C
Positioning on the right side during and after feedings helps minimize the risk of aspiration. It is not necessary to verify placement before each feeing. G-tubes are inserted into the stomach and sutured in place. If the tube is through the skin, it is in the stomach. Feedings should be given by gravity flow. The plunger may be used to initiate the feeding, but then the formula should be allowed to flow. Beefy red tissue around the G-tube site is normal granulation tissue that is expected.

Answer to Question 2

ANS: B
The needle should be inserted quickly in a dartlike motion at a 90-degree angle unless contraindicated. Inject medications slowly. Allow skin preparation to dry completely before the skin is penetrated. Place the child in a lying or sitting position.