After a posterior nasal pack is inserted by the physician, the client is very anxious and states, "I don't feel like I'm breathing right." The immediate intervention the nurse would initiate is
A) collect a specimen for arterial blood gases (ABGs).
B) cut the pack strings and pull the packing out.
C) inspect the client's oral cavity using a flashlight.
D) reassure the client that this is normal discomfort.

Question

Quizplus · Accepted Answer

The nurse should inspect the oral cavity for the presence of blood, soft palate necrosis, and proper placement of the posterior plug. If the posterior plug is visible, the physician is notified for readjustment of the packing. Having posterior packing is very uncomfortable and clients may need both analgesics and anxiolytics to tolerate it. But before medicating the client, a thorough assessment is warranted.

After a Posterior Nasal Pack Is Inserted by the Physician