A client has returned to the nursing unit following a transesophageal echocardiogram (TEE). Nursing responsibilities include:
A)
keeping client sedated for the remainder of the shift.
B)
removing chest electrodes and checking for skin irritation.
C)
checking for return of a gag reflex.
D)
encouraging client to drink 8 ounces of water every hour.
C
Explanation:
A)
Since the client is sedated during the procedure, presence of a gag reflex must be determined prior to resuming fluid or food intake. Further sedation is not necessary. A transducer is mounted endoscopically in the esophagus; electrodes are not applied.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
B)
Since the client is sedated during the procedure, presence of a gag reflex must be determined prior to resuming fluid or food intake. Further sedation is not necessary. A transducer is mounted endoscopically in the esophagus; electrodes are not applied.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
C)
Since the client is sedated during the procedure, presence of a gag reflex must be determined prior to resuming fluid or food intake. Further sedation is not necessary. A transducer is mounted endoscopically in the esophagus; electrodes are not applied.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
D)
Since the client is sedated during the procedure, presence of a gag reflex must be determined prior to resuming fluid or food intake. Further sedation is not necessary. A transducer is mounted endoscopically in the esophagus; electrodes are not applied.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
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