Question

A client with cirrhosis of the liver returns from banding procedure for esophageal varices. Which complaint warrants the nurse's greatest concern? A. Chest pain B. Eructation C. Drowsiness D. Nausea

Short answer

Answer: A. Chest pain

Step-by-step solution

Understanding cirrhosis of the liver and esophageal varices

Cirrhosis of the liver is a chronic condition that involves the gradual replacement of healthy liver tissue with scar tissue, which can lead to liver failure. Esophageal varices are abnormally enlarged veins in the esophagus that can develop when normal blood flow to the liver is obstructed by scar tissue. These varices are prone to rupture, which can cause life-threatening bleeding.

Knowing the banding procedure

The banding procedure for esophageal varices involves the use of an endoscope to visualize the varices, and then place small rubber bands around them to reduce their size and potential for bleeding. This is a minimally invasive procedure, but complications can occur.

Evaluating the complaints

Now let's examine the complaints given in the exercise. A. Chest pain: This may indicate complications such as perforation of the esophagus, or other serious issues. So, this warrants the nurse's greatest concern. B. Eructation: This is a medical term for belching or burping. Although it can cause discomfort, it is not a cause for major concern after the banding procedure. C. Drowsiness: This could be due to sedation or pain medications given during or after the procedure. It's not a major concern but should be monitored. D. Nausea: This may be related to the endoscopic procedure or medications and is usually not a major concern but should be closely observed.

Selecting the answer

Based on the evaluation of each complaint, the most concerning symptom is chest pain (A), which could indicate complications such as esophageal perforation. Therefore, the correct answer is A. Chest pain.