Day 1 at 1730: Mr. Gonzalez has returned from their

Day 1 at 1730: Mr. Gonzalez has returned from their EGD and is still sleeping. Client initially was sedated with midazolam 2mg IV bolus, and Fentanyl 100 mcg buccal by the EGD nurse; however, the client was not tolerating the procedure, so anesthesia was called to administer propofol 10 mg IV bolus. The nurse receiving report from the EGD nurse stated client really struggled before they called anesthesia and may have caused an esophageal abrasion. Due to this, the provider has requested the client to stay in the hospital for observation. The client’s dinner tray is waiting for the client in their room, and the nurse notices it is a regular diet. Temperature: 36.7 C (98.1 F), blood pressure: 122/64 mm Hg, heart rate: 89/min, respiratory rate 12/min, oxygen saturation on room air is 91%. Which of the following actions should the nurse take? (Select all that apply.) Encourage the client to take a few bites of food after awakened. Check the client’s gag reflex. Assist the client to sit at the edge of the bed. OApply 2 liters/min of oxygen via nasal cannula on the client. Awake the client and ask them to take deep breaths. Submit

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