The Client with Esophageal Varices Has a Sengstaken-Blakemore Tube in Place

question 26

Multiple Choice

The client with esophageal varices has a Sengstaken-Blakemore tube in place for esophageal tamponade. As a measure to prevent aspiration of saliva, the nurse would

• A) assist the client to cough and spit saliva into an emesis basin.
• B) completely deflate the esophageal balloon every 30 minutes.
• C) remove saliva through the fourth lumen.
• D) suction saliva accumulation with a nasogastric tube.

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