Question

Before a transesophageal echocardiogram, a nurse gives a client an oral topical anesthetic spray. When the client returns from the procedure, the nurse observes that he has no active gag reflex. In response, the nurse should _________.

1) insert an oral airway.
2) withhold food and fluids.
3) position the client on his side.
4) introduce a nasogastric (NG) tube.

Answer 1

After a transesophageal echocardiogram, if the client has no active gag reflex, the nurse should withhold food and fluids to prevent complications.

Step-by-step explanation:

After a transesophageal echocardiogram, if the nurse observes that the client has no active gag reflex, it is important to withhold food and fluids. This is because the absence of a gag reflex can indicate a risk of aspiration, where food or fluids may enter the airway and cause complications. By withholding food and fluids, the nurse can help prevent this from happening.