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The Nurse Is Caring for a Patient with a Sengstaken-Blakemore

Question 3

Multiple Choice

The nurse is caring for a patient with a Sengstaken-Blakemore tube. Which assessment finding should the nurse immediately report for follow-up?


A) left lower leg swollen and reddened
B) absent bowel sounds to lower-left quadrant
C) decreased level of consciousness
D) 3 cm darkened area on left heel

Correct Answer:

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