A client has returned to the nursing unit following a transesophageal echocardiogram (TEE). Nursing responsibilities should include:
1. Checking for return of the gag reflex.
2. Keeping the client sedated for the remainder of the shift.
3. Encouraging the client to drink 8 ounces of water every hour.
4. Removing chest electrodes and checking for skin irritation.
Answer: 1
1. Since the client is sedated during the procedure, the presence of the gag reflex must be determined prior to resuming fluid or food intake.
2. Further sedation is not necessary.
3. The presence of the gag reflex must be determined prior to resuming fluid or food intake.
4. A transducer is mounted endoscopically in the esophagus; electrodes are not applied.
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