A client 2 hours post–esophageal dilation develops increasing pain in the throat. Which is the best action of the nurse?
a. Administer an analgesic.
b. Document the finding.
c. Reposition the client.
d. Assess the client for perforation.
D
Pain may be indicative of perforation, which is a known complication of dilation and requires immediate intervention. An analgesic should not be administered until the problem is diagnosed. Repositioning will not help the nurse determine what is wrong. Documentation should be done after the nurse finishes assessing the client.
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