A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin breakdown and irritation at the insertion site. Which of the following would be the most appropriate method to clean and secure the gastrostomy tube?

Question

Quizplus · Accepted Answer

The correct approach for managing skin breakdown and irritation at a gastrostomy tube site involves gentle care to prevent further irritation and promote healing. Using a presplit 2 × 2 gauze placed loosely around the site allows for absorption of any drainage while minimizing pressure and friction on the irritated skin. This method also allows the skin to breathe and heal, unlike options that involve restricting movement with adhesive tape or creating a potentially moist environment with a transparent dressing, which could exacerbate skin breakdown.

A Nurse Is Caring for a 14-Year-Old with a Gastrostomy