The nurse is caring for a client diagnosed with achalasia who will be receiving a botulinum toxin (Botox) injection to help improve function of his lower esophageal sphincter (LES) muscle
The nurse includes education to reinforce to the client that this medical intervention will: 1. Usually be effective for 6 to 9 months.
2. Require dilation of the esophagus.
3. Require general anesthesia.
4. Likely result in dysphagia.
Usually be effective for 6 to 9 months.
Rationale: A less invasive procedure for achalasia is performed with the injection of botulinum toxin (Botox) into the LES through an endoscopic procedure using conscious sedation. The disadvantage of this procedure is that it usually requires repeated treatment every 6 to 9 months. The traditional treatment of achalasia has been the use of esophageal dilation or myotomy. Dysphagia is a result of the condition, not a side effect of the Botox treatment.
You might also like to view...
When assessing a 2-year-old with suspected autistic disorder, a nurse would expect:
a. hyperactivity and attention deficits. b. failure to develop interpersonal skills. c. a history of disobedience and destructive acts. d. high levels of anxiety when separated from the parent.
A patient with acute congestive heart failure presents with jugular vein distention, crackles bilaterally, and dyspnea. The nursing diagnosis with the highest priority would be:
1. activity intolerance. 2. excess fluid volume. 3. anxiety. 4. ineffective coping.
Phenobarbital also has anticonvulsant activity
Indicate whether the statement is true or false.
After an epidural catheter is inserted, blood pressure and pulse should be monitored every
A) hour for the first 2 hours, then every 2 hours. B) 15 minutes for 4 hours, then every hour. C) hour for the first 24 hours. D) 30 minutes for the first 6 hours, then every hour for 8 hours.