Question

A 53-year-old patient is being treated for bleeding esophageal varices with balloon tamponade. Which nursing action will be included in the plan of care?

a. Instruct the patient to cough every hour.
b. Monitor the patient for shortness of breath.
c. Verify the position of the balloon every 4 hours.
d. Deflate the gastric balloon if the patient reports nausea.

Answer 1

The nursing action that will be included in the plan of care for a patient being treated for bleeding esophageal varices with balloon tamponade is to verify the position of the balloon every 4 hours.

Step-by-step explanation:

The nursing action that will be included in the plan of care for a 53-year-old patient being treated for bleeding esophageal varices with balloon tamponade is to verify the position of the balloon every 4 hours. Balloon tamponade is a procedure where a balloon is inflated in the esophagus to control bleeding. It is important to monitor the position of the balloon regularly to ensure it is in the correct position and functioning properly.