A practical nurse is providing care for a client who recently returned to the unit following an esophagogastroduodenoscopy (EGD) with moderate sedation. Which of the following nursing actions should the nurse take to reduce the risk of potential complications? (Select all that apply)
- Verify the return of the client's gag reflex prior to offering any oral fluids or medications.Cevap
- Monitor the client's respiratory rate and oxygen saturation closely.Cevap
- Assess the client for sudden, severe abdominal pain or a rigid abdomen.Cevap
- DDelegate the immediate post-procedure vital sign measurements to an unlicensed assistive personnel (UAP).
- EAttribute a steadily rising heart rate and mild hypotension to the lingering effects of sedation without reporting it.
- FDelay notifying the registered nurse about a new, critically low hemoglobin result if the client is resting quietly.
Cevap
The nurse must verify the return of the gag reflex, monitor respiratory status, and assess for signs of perforation such as severe abdominal pain.
After an EGD, the client's throat is numb from local anesthetics, and they have received moderate sedation. Checking the gag reflex prevents aspiration, while monitoring respirations ensures the sedation is not dangerously depressing the central nervous system. Assessing for a rigid abdomen or severe pain is critical to quickly identify a gastrointestinal perforation.
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Post-Procedure Risk Reduction