The patient has gastroesophageal reflux disease and receives lidocaine viscous prior to an endoscopy. What will be the nurse's priority assessment immediately after the procedure?
1. Assess for a return of the gag reflex.
2. Assess for nausea and vomiting.
3. Assess for any damage to the teeth or gums.
4. Assess for a headache.
1
Rationale 1: The gag reflex must be assessed before giving the patient anything to eat or drink.
Rationale 2: Nausea and vomiting are not common after an endoscopy.
Rationale 3: Damage to the teeth or gums is rare following an endoscopy.
Rationale 4: Headaches are not common after an endoscopy.
Global Rationale: The gag reflex must be assessed before giving the patient anything to eat or drink. Damage to the teeth or gums is rare following an endoscopy. Nausea and vomiting are not common after an endoscopy. Headaches are not common after an endoscopy.
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