A practical nurse is providing care for a client who just returned to the nursing unit following an esophagogastroduodenoscopy (EGD) performed with conscious sedation and a local throat anesthetic. Which basic care and comfort interventions should the nurse implement? Select all that apply.
- Keep the client strictly NPO until the return of the gag reflex is verified.Answer
- Position the client in a side-lying or semi-Fowler's position.Answer
- COffer oral throat lozenges immediately to relieve procedural throat discomfort.
- DPlace the client flat in a supine position to promote hemodynamic stability.
- Provide an emesis basin and facial tissues within the client's easy reach.Answer
Answer
The correct interventions are maintaining NPO status until the gag reflex returns, utilizing a side-lying or semi-Fowler's position, and providing an emesis basin for oral secretions.
The correct interventions prioritize protecting the client's airway while promoting basic hygiene. Because a local anesthetic was applied to the throat, the gag reflex is temporarily absent. Keeping the client NPO until the reflex returns is a critical safety measure to prevent aspiration. Positioning the client on their side or in a semi-Fowler's position uses gravity to keep the airway clear and facilitate the drainage of saliva. Providing an emesis basin gives the client a safe way to dispose of oral secretions they cannot yet swallow.
Step-by-Step Solution
Key Concept
Post-Procedure Airway and Aspiration Precautions