APSNA Care of Gastrostomy Tubes Quiz

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1. Which gastrostomy tube has no balloon that requires inflation? *

MIC-KEY button

AMT MiniONE button

Long gastrostomy tube

PEG tube

2. Immediately following gastrostomy tube placement, how is the tube initially managed? *

Clamped until enteral feedings are initiated

Placed to gravity drainage

Connected immediately to a feeding pump

Used immediately for full-volume bolus feedings

3. Which device provides continuous pressure relief for patients with a gastrostomy tube following a Nissen fundoplication? *

Extension set

Feeding pump

Farrell Valve

Syringe

4. Which statement about a Nissen fundoplication is correct? *

It completely prevents aspiration.

It eliminates vomiting in all patients.

It reinforces the lower esophageal sphincter and reduces vomiting.

It is required for every gastrostomy tube placement.

5. According to the UPMC Children’s gastrostomy care protocol presented in this webinar, a newly placed gastrostomy button becomes dislodged before the 12-week follow-up appointment. What is the appropriate action? *

Accessing or deflating the balloon port

Administering medications through the tube

Cleaning the skin around the button

Connecting the feeding extension set

6. According to the UPMC Children’s gastrostomy care protocol presented in this webinar, a newly placed gastrostomy button becomes dislodged before the 12-week follow-up appointment. What is the appropriate action? *

Reinsert the tube immediately.

Insert a Foley catheter into the tract.

Cover the site with gauze and send the patient to the emergency department.

Inflate the balloon and replace the tube.

7. Which nursing intervention is recommended to help prevent skin breakdown around the gastrostomy tube? *

Clean the site with gentle soap and water and keep the area clean.

Apply alcohol to the skin daily.

Rotate the tube several times each shift during the first week.

Leave drainage on the skin to protect it.

8. Leakage around the gastrostomy tube has caused skin irritation. Which treatment is recommended first? *

Silver nitrate

Zinc-based protective cream

Triamcinolone cream

Surgical revision

9. Which treatment may be used for hypergranulation tissue around a gastrostomy tube? *

Zinc-based cream only

Nystatin only

Immediate tube removal

Triamcinolone cream or silver nitrate

10. Which responsibility is part of the bedside nurse's role in preparing a family for discharge with a new gastrostomy button? *

Demonstrating routine care and obtaining return demonstration from the family

Independently changing the button before discharge

Deflating the balloon to teach replacement

Scheduling all future surgery appointments

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APSNA Connect Live! - Care of Gastrostomy Tubes