Question

20 of 50 the nurse is caring for a client with a sengstaken - blakemore tube. to effectively prevent ulceration and necrosis of oral and nasal mucosa, the nurse would plan to implement which action? answer options 1 provide tracheal suction as needed 2 keep scissors at the bedside for emergency deflation. 3 provide frequent oral and nasal care on a regular basis. 4 have a family member remain with the client as much as possible rationale, strategy, reference, tip

Explanation:

Frequent oral and nasal care helps prevent ulceration and necrosis of the mucosa by keeping the area clean and reducing irritation when a Sengstaken - Blakemore tube is in place. Tracheal suction is for airway management, keeping scissors is for emergency deflation, and having a family member present is for emotional support, none of which directly prevent mucosal issues.

Answer:

1. Provide frequent oral and nasal care on a regular basis.