A client returns to the nursing unit after undergoing an esophagogastroduodenoscopy (EGD). Which of the following reflects appropriate intervention by the nurse?
1. Allow the client unassisted bathroom privileges.
2. Keep the client lying flat in bed in the supine position.
3. Withhold oral fluids until the client's gag reflex has returned.
4. Tell the client to report a sore throat immediately, because it is a serious complication.
3
Rationale: In preparation for the passage of the endoscope, an anesthetic is sprayed to inactivate the gag reflex and thus facilitate passage of the tube. It may take 1 to 2 hours for the anesthetic spray to wear off and for the gag reflex to return. "Allow the client unassisted bathroom privileges," "keep the client lying flat in bed in the supine position," and "tell the client to report a sore throat immediately, because it is a serious complication" are incorrect.
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