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Tuxen's Esophageal Varices Ruptured and He Was Having Hematemesis

Question 14

Multiple Choice

Tuxen's esophageal varices ruptured and he was having hematemesis. A Sengstaken-Blakemore tube is inserted in an effort to stop the bleeding. After the Sengstaken-Blakemore tube is inserted, the client has difficulty in breathing. Based on this information, the first action the nurse should take is to:


A) Deflate the esophageal balloon
B) Encourage him to take deep breaths
C) Monitor his vital signs
D) Notify the physician

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