Clinical Nurse Specialist CNS Adult Practice Test

Answer: B - Since these findings suggest irritation or inflammation of the insertion site, the appropriate action of the nurse is to notify the physician immediately. The insertion site of the PEG may be irritated because of constant contact with leaking gastric acid, exposure to feeding formula, or infection due to poor PEG care. To prevent this, the nurse should always do proper PEG care. Options C and D are incorrect; the nurse shouldn’t attempt to manage this condition independently.