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 the problem

A client returns from a banding procedure for esophageal varices, which can be caused by cirrhosis of the liver. As a nurse, the goal is to identify which of the client's complaints warrants the greatest concern. Esophageal banding is a procedure to stop bleeding from the esophageal varices (enlarged veins in the lower part of the esophagus).

Analyze each option

We will analyze each option separately to determine which one should be of greatest concern for the nurse. A. Chest pain: Chest pain might be a sign of a serious complication, such as rupture or perforation of the esophagus. This could lead to further bleeding, infection, or difficulty in breathing. B. Eructation: Eructation (belching) is common after esophageal procedures and is usually not a cause for concern. It might indicate that air has been swallowed during the procedure, causing discomfort. C. Drowsiness: Drowsiness might be a side effect of sedation used during the procedure, or it could be due to other factors such as fatigue or stress. However, it might not necessarily indicate a serious problem. D. Nausea: Nausea is a common side effect of anesthesia used during the procedure and is generally temporary. Although discomforting, it might not be a direct cause for concern.

Choose the greatest concern

Out of the four options, chest pain (A) should be the nurse's greatest concern, as it might indicate a serious complication such as rupture or perforation of the esophagus, which could lead to further bleeding, infection, or difficulty in breathing. The nurse should monitor the client closely and report any worsening symptoms to the healthcare provider.