Which client data requires follow-up nursing care during a gastroscopy?

Question

1. Client in left lateral position
2. Anterior gastric erosion ulcer
3. Blood pressure 86/44 mm Hg
4. Lethargic, aroused with touch

Answer 1

4
4. Inserting the endoscope can stimulate the vagus nerve potentially leading to a slower heart rate and hypotension from an inadequate cardiac output. The heart rate is slow enough in this client to decrease cardiac output; because Heart rate ? Stroke volume = Cardiac output, the blood pressure drops because the total volume of blood heretofore sustaining the blood pressure fell considerably. The nurse can lower the head of the bed, elevate the client's legs, allow 5 to 10 minutes to pass, or collaborate to increase IV fluids (being careful not to give a bolus of IV analgesia or sedation) or administer a stimulant, such as epinephrine, to cause vaso-constriction and to increase the heart rate.
1. Left lateral Sims' position is suitable for gastroscopy.
2. The nurse and provider use the gastric erosion identified during the gastroscopy to plan nursing care and client therapy.
3. The client should have a lower level of consciousness during the procedure; the nurse controls the sedation very carefully to avoid oversedation and respiratory de-pression. Considering the client's vital signs, the sedation is potentially excessive for the client.