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    ATI PN Exit 2023 Proctored ExamQuestion 104
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    ATI PN Exit 2023 Proctored Exam

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

    Explanation & Rationale

    Choice A rationale: Tape the tube to the child's cheek. Taping the tube to the child's cheek is not the recommended method for securing a gastrostomy enteral tube. It can cause discomfort and skin irritation for the child. Proper securing methods involve using specialized tube holders or dressings designed for this purpose. Choice B rationale: Apply water-soluble lubricant to the site. Rationale: Applying a water-soluble lubricant to the site is not a standard practice for gastrostomy tube care. It is essential to keep the site clean and dry to prevent infection. Lubricants are not typically used in this context. Choice C rationale: Attaching an extension tube is related to administering feedings or medications rather than the maintenance and care of the gastrostomy site. Site care focuses on protecting the skin and ensuring cleanliness around the tube insertion area. Choice D rationale: Apply a skin barrier protectant to the site. Using a skin barrier protectant helps shield the peristomal skin from irritation and breakdown caused by gastric contents and formula leakage.

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