1

A Sengstaken-Blakemore tube is inserted in the effort to stop the bleeding esophageal varices in a patient with complicated liver cirrhosis. Upon insertion of the tube, the client complains of difficulty of breathing. The first
action of the nurse is to:

  • Notify the MD

  • Monitor VS

  • Encourage him to take deep breaths

  • Deflate the esophageal balloon