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.

Question

Quizplus · Accepted Answer

Because the Sengstaken-Blakemore tube does not have a fourth lumen, the saliva should be suctioned via a nasogastric tube from the top of the esophageal balloon.

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