A nurse is providing site care for a child who has a gastrostomy enteral tube. Which of the following actions should the nurse take?

Tape the tube to the child's cheek.

Apply water-soluble lubricant to the site.

Attach an extension tube to the site's opening prior to use.

Secure the tubing to the child's abdomen.

Answer and Explanation

The Correct Answer is D

A. Taping the tube to the child's cheek is not a recommended practice. It can cause skin irritation, discomfort, or even accidental removal of the tube. Proper securing of the tube to the abdomen using appropriate devices is the preferred method to prevent dislodgement.

B. Applying water-soluble lubricant to the gastrostomy site routinely is not recommended because it can trap moisture, leading to maceration or infection.

C. Some gastrostomy tubes require an extension set for feeding, especially low-profile devices (e.g., button-type gastrostomy tubes). This extension makes it easier to administer feeds or medications and can be removed afterward. However, this is not typically part of routine site care.

D. Securing the tubing to the child's abdomen helps prevent accidental dislodgement or pulling of the gastrostomy tube. This can be done using appropriate securing devices, such as adhesive dressings or commercially available tube holders, as recommended by the healthcare provider.

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Correct Answer is D

Explanation

Answer: D. Elevated lipase

Rationale: Pancreatitis is an inflammation of the pancreas that causes pancreatic enzymes to leak into the bloodstream and damage surrounding tissues. Lipase is one of these enzymes that is produced by the pancreas to digest fats. An elevated lipase level indicates pancreatic injury and is a diagnostic marker for acute pancreatitis. The other laboratory results are not specific to pancreatitis and could be caused by other conditions.

A. "Eliminate berries and citrus fruits from your diet." B. "Take the iron supplement with green tea." C. "Increase your dietary fiber intake." D. "Avoid drinking milk with the iron supplement."

Correct Answer is D

Explanation

The correct answer is D.

Iron absorption is inhibited by calcium, which is found in milk and dairy products. Therefore, the nurse should advise the client to avoid drinking milk with the iron supplement. The nurse should also encourage the client to consume foods rich in vitamin C, such as berries and citrus fruits, which can enhance iron absorption.

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A nurse is providing site care for a child who has a gastrostomy enteral tube. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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