/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 26 A client has returned to his roo... [FREE SOLUTION] | 91影视

91影视

Log out

Learning Materials

Features

Discover

Chapter 3: Problem 26

A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's: A. Level of consciousness B. Gag reflex C. Urinary output D. Movement of extremities

Short Answer

Expert verified
Answer: B. Gag reflex

Step by step solution

01

Identify the importance of each assessment

Let's evaluate the importance of each assessment and see which is the most crucial. A. Level of consciousness: While keeping track of the client's level of consciousness is crucial in many cases, it is not the key aspect to evaluate immediately following an esophagoscopy. B. Gag reflex: An esophagoscopy involves the insertion of an endoscope into the esophagus, which could potentially affect the patient's gag reflex. Assessing the gag reflex is important to ensure the client's safety and comfort when beginning to consume fluids following the procedure. C. Urinary output: Although monitoring urinary output might be necessary in some situations, it is not directly related to the esophagoscopy procedure and is not the first priority assessment in this case. D. Movement of extremities: While it is essential to monitor the client's overall health and function, assessing the movement of extremities is not the top priority immediately after an esophagoscopy.
02

Determine the priority assessment

Upon evaluation of each assessment, it becomes clear that option B, Gag reflex, is the most crucial assessment to be prioritized by the nurse before offering fluids to the client following an esophagoscopy. So, the correct answer for this exercise is: B. Gag reflex

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91影视!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Nursing Assessment
Nursing assessment is a fundamental aspect of patient care that involves a systematic approach to gather information about a patient's health status. This process includes a comprehensive evaluation, which encompasses physical, psychological, social, and spiritual dimensions. It's the first step in the nursing process and serves as the basis for every care decision that follows.

For instance, after a procedure like an esophagoscopy, the nurse performs a targeted assessment focused on specific areas that might have been affected by the procedure. This includes checking vital signs, assessing for pain, and examining areas that could indicate complications, such as the throat for gag reflex integrity. The nurse uses this information to identify patient needs, plan care appropriately, and prevent potential problems like aspiration if the patient's gag reflex is compromised.
Post-procedure Care
Post-procedure care is critical to ensure a patient's safe recovery after any medical intervention. This period involves stringent monitoring to detect any signs of complications early and managing common post-operative concerns such as pain, nausea, and potential infections.

In the context of an esophagoscopy, the nursing care focus shifts to specific concerns related to the procedure, such as throat discomfort, potential bleeding, and airway patency. Since the patient's throat may be numbed or their gag reflex temporarily impaired, it is crucial to monitor these symptoms before advancing their diet, starting with clear fluids. A gradual approach helps in preventing aspirations or choking and contributes significantly to patient comfort and recovery.
Gag Reflex Monitoring
Monitoring the gag reflex after a throat or esophageal procedure is imperative for patient safety. The gag reflex is an automatic throat closure that occurs when the back of the throat is touched. This reflex prevents choking and ensures that ingestion only occurs when safe. After procedures such as an esophagoscopy, there's a potential for the gag reflex to be temporarily impaired due to local anesthesia or the endoscope's passage.

Therefore, before offering fluids or food, a nurse must assess the gag reflex to reduce the risk of aspiration pneumonia, which could occur if food or liquid is inhaled into the lungs. The assessment can be done by gently stimulating the posterior pharynx with a tongue depressor and observing the patient's response. It鈥檚 essential to wait for the complete return of this reflex before allowing the patient to consume anything by mouth.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately? A. The client complains of thirst B. The client has gained 4 pounds in the past 2 months C. The client complains of a sore throat D. The client naps throughout the day

A client with tuberculosis who has been receiving combined therapy with INH and Rifampin asks the nurse how long he will have to take medication. The nurse should tell the client that: A. Medication is rarely needed after 2 weeks. B. He will need to take medication the rest of his life. C. The course of combined therapy is usually 6 months. D. He will be re-evaluated in 1 month to see if further medication is needed.

What information should the nurse give a new mother regarding the introduction of solid foods for her infant? A. Solid foods should not be given until the extrusion reflex disappears, at 8-10 months of age. B. Solid foods should be introduced one at a time, with 4- to 7-day intervals. C. Solid foods can be mixed in a bottle or infant feeder to make feeding easier. D. Solid foods should begin with fruits and vegetables.

A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception? A. "Currant jelly" stools B. Projectile vomiting C. "Ribbonlike" stools D. Palpable mass over the flank

Which finding is the best indication that a client with ineffective airway clearance needs suctioning? A. Oxygen saturation B. Respiratory rate C. Breath sounds D. Arterial blood gases
See all solutions

Recommended explanations on Biology Textbooks

Biology Experiments

Read Explanation

Organ Systems

Read Explanation

Cellular Energetics

Read Explanation

Chemistry of Life

Read Explanation

Genetic Information

Read Explanation

Astrobiological Science

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.