Which of the following is an appropriate nursing action for skin irritation around the Gastrostomy tube site?
Providing a skin barrier for any drainage at the site
Turn the client to the side
Apply adhesive bandage directly to the skin
Keep the head of bed 25 degrees
The Correct Answer is A
a) Providing a skin barrier for any drainage at the site: Protecting the skin from moisture or drainage prevents further irritation or breakdown. Skin barriers help maintain skin integrity.
b) Turn the client to the side: Positioning may help with aspiration prevention but does not address skin irritation around the G-tube site.
c) Apply adhesive bandage directly to the skin: Adhesive bandages can further irritate or damage already sensitive skin and are not recommended for irritated or moist areas.
d) Keep the head of bed 25 degrees: While semi-Fowler’s positioning (30–45°) is good for preventing aspiration, this is unrelated to treating skin irritation directly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Nothing by mouth: NPO stands for "Nil Per Os" in Latin, which means "nothing by mouth." This includes all food and fluids, and the patient would receive nutrition through other means such as enteral feedings.
b) Nocturnal feedings only: NPO refers to not taking anything by mouth at all, not just during certain times.
c) Administer by mouth: This would contradict the NPO order, which specifies that nothing should be taken orally.
d) Aspirate gastric contents: This is a procedure used for other purposes (like verifying placement of a tube), but it does not define what "NPO" means.
Correct Answer is ["500"]
Explanation
What is the safe and single dose for this child?
The recommended daily dosage is 75 mg/kg/day. For a 20 kg child:
Safedailydose= 75 mg/kg/day × 20 kg
= 1500 mg/day
Since the child is receiving the medication every 8 hours, the single dose would be:
Singledose = 1500 mg ÷ 3
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