问题
单项选择题
A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the physician visualize the ulcer’s location and severity. Immediately after the endoscopy, what would be a priority for the nurse to assess
A. Return of the gag reflex.
B. Bowel sounds.
C. Peripheral pulses.
D. Intake and output.
答案
参考答案：A
解析：Prior to an upper gastrointestinal endoscopy, a local anesthetic is applied to the posterior pharynx. This results in temporary loss of the gag reflex which facilitates passage of the endoscope. The client is at risk for aspiration until the gag reflex returns. Therefore, monitoring the client for return of the gag reflex is a priority nursing assessment.