A patient with bleeding esophageal varices is brought to the emergency department by the paramedics. An immediate endoscopy is performed. What nursing intervention is appropriate?
A) Keep patient NPO until results of test are known.
B) Keep patient NPO until gag reflex returns.
C) Give anesthetic gargles until post-procedure soreness goes away.
D) Give anesthetic lozenges 10 minutes before meals.
Ans: B
Feedback: After the examination, fluids are not given until the patient's gag reflex returns. Lozenges and gargles may be used to relieve throat discomfort if the patient's physical condition and mental status permit. Appropriate nursing interventions do not include option A, as the result of the test is known immediately; anesthetic gargles and lozenges are contraindicated until the gag reflex returns.
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