A client with acquired immune deficiency syndrome and esophagitis due to Candida fungus is scheduled for an endoscopy. What actions by the nurse are most appropriate? (Select all that apply.)
a. Assess the client's mouth and throat.
b. Determine if the client has a stiff neck.
c. Ensure that the consent form is on the chart.
d. Maintain NPO status as prescribed.
e. Percuss the client's abdomen.
ANS: A, C, D
Oral Candida fungal infections can lead to esophagitis. This is diagnosed with an endoscopy and biopsy. The nurse assesses the client's mouth and throat beforehand, ensures valid consent is on the chart, and maintains the client in NPO status as prescribed. A stiff neck and abdominal percussion are not related to this diagnostic procedure.
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