The nursing measure that takes priority in relation to the care of a patient with an gastroesophageal balloon tube is to:
1. deflate the balloon periodically.
2. advance the tube as instructed.
3. monitor respirator status.
4. withhold medications that could decrease restlessness.
3
Because of close proximity of the esophagus and trachea, any upward movement of the tube could cause airway obstruction.
PTS: 1 DIF: Cognitive Level: Application REF: 813
OBJ: 3 TOP: Esophageal Balloon
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
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