, The nurse is administering an enteral feeding to a child with a gastrostomy tube (G-
tube). Which action will the nurse take when administering a prescribed feeding through
the client's G-tube? - CORRECT ANSWERS-Check for gastric residual before starting
feeding
Explanation:
The nurse should check for gastric residual before starting feeding by gently aspirating
from the tube with a syringe or positioning the tube below the level of the stomach with
only the barrel of the syringe attached. The client should be positioned with his or her
head elevated 30° to 45° and the formula should be allowed to flow with gravity, not
plunged unless the tube is clogged. After feeding, the nurse should flush the tube with a
small amount of water, unless contraindicated, and leave the G-tube open for 5 to 10
minutes after feeding to allow for escape of air.
An 18-month-old infant is brought to the emergency department with flu-like symptoms.
The infant is diagnosed with pneumonia secondary to aspiration of stomach contents.
The nurse explains to the parents that pneumonia is a condition that often occurs
secondary to: - CORRECT ANSWERS-gastroesophageal reflux disease.
Explanation:
Gastroesophageal reflux (GER) is the passage of gastric contents into the esophagus.
These refluxed contents may be aspirated into the lungs. The child with
gastroesophageal reflux disease may present with the physical findings of pneumonia
or GER-induced asthma. GER may cause apnea or an apparent life-threatening event
in the younger infant. Pneumonia can occur in children with cystic fibrosis, but the child
would need to have the cystic fibrosis diagnosis first. Hirschprung and inflammatory
bowel diseases are diseases of the gastrointestinal tract that do not have respiratory
symptoms as part of the diseases.
A nurse taking a health history of a newborn notes that there is a maternal history of
polyhydramnios. What GI condition might this history precipitate? - CORRECT
ANSWERS-Esophageal atresia (EA)
Explanation:
A maternal history of polyhydramnios is usually present in one-third of cases of EA and
in some cases of tracheoesophageal fistula (TEF).
A physician recommends a gastrostomy for a 4-year-old client with an obstruction. The
parents ask the certified wound, ostomy, and continence nurse (CWOCN) what the
surgery entails. What is the nurse's best response? - CORRECT ANSWERS-"The
surgery creates an opening between the stomach and abdominal wall."
Explanation:
Ostomies can be created at various sites in the GI tract, depending on the child's clinical
condition. A gastrostomy provides an opening between the stomach and the abdominal
wall, and an esophagostomy communicates between the esophagus and an external
tube). Which action will the nurse take when administering a prescribed feeding through
the client's G-tube? - CORRECT ANSWERS-Check for gastric residual before starting
feeding
Explanation:
The nurse should check for gastric residual before starting feeding by gently aspirating
from the tube with a syringe or positioning the tube below the level of the stomach with
only the barrel of the syringe attached. The client should be positioned with his or her
head elevated 30° to 45° and the formula should be allowed to flow with gravity, not
plunged unless the tube is clogged. After feeding, the nurse should flush the tube with a
small amount of water, unless contraindicated, and leave the G-tube open for 5 to 10
minutes after feeding to allow for escape of air.
An 18-month-old infant is brought to the emergency department with flu-like symptoms.
The infant is diagnosed with pneumonia secondary to aspiration of stomach contents.
The nurse explains to the parents that pneumonia is a condition that often occurs
secondary to: - CORRECT ANSWERS-gastroesophageal reflux disease.
Explanation:
Gastroesophageal reflux (GER) is the passage of gastric contents into the esophagus.
These refluxed contents may be aspirated into the lungs. The child with
gastroesophageal reflux disease may present with the physical findings of pneumonia
or GER-induced asthma. GER may cause apnea or an apparent life-threatening event
in the younger infant. Pneumonia can occur in children with cystic fibrosis, but the child
would need to have the cystic fibrosis diagnosis first. Hirschprung and inflammatory
bowel diseases are diseases of the gastrointestinal tract that do not have respiratory
symptoms as part of the diseases.
A nurse taking a health history of a newborn notes that there is a maternal history of
polyhydramnios. What GI condition might this history precipitate? - CORRECT
ANSWERS-Esophageal atresia (EA)
Explanation:
A maternal history of polyhydramnios is usually present in one-third of cases of EA and
in some cases of tracheoesophageal fistula (TEF).
A physician recommends a gastrostomy for a 4-year-old client with an obstruction. The
parents ask the certified wound, ostomy, and continence nurse (CWOCN) what the
surgery entails. What is the nurse's best response? - CORRECT ANSWERS-"The
surgery creates an opening between the stomach and abdominal wall."
Explanation:
Ostomies can be created at various sites in the GI tract, depending on the child's clinical
condition. A gastrostomy provides an opening between the stomach and the abdominal
wall, and an esophagostomy communicates between the esophagus and an external
