A client is being treated for bleeding esophageal varices with a Sengstaken-Blakemore tube.Nursing care will include which of these approaches?
A)allowing the client to assume a position of choice
B)emptying the drainage bottle and recording output
C)periodically deflating the balloon
D)providing sips of ice water every 30 to 45 minutes

Question

Quizplus · Accepted Answer

Esophageal varices are enlarged,twisted esophageal veins that are usually associated with chronic liver obstruction such as occurs in cirrhosis;they are asymptomatic until they rupture and hemorrhage.Medical management includes sclerotherapy or ligation;balloon tamponade is used during active bleeding.Medications may also be prescribed to prevent esophageal irritation,to control bleeding,and to control pain following sclerotherapy.Surgical treatment includes creation of a portosystemic shunt or a transjugular intrahepatic portosystemic shunt.Nursing care focuses on monitoring the client's vital signs and overall condition for evidence of bleeding,periodically deflating the balloon if a Sengstaken-Blakemore tube is used,and alleviating client anxiety.

A Client Is Being Treated for Bleeding Esophageal Varices with a Sengstaken-Blakemore