Difficulty: Medium
Average Score: 65%
Simulated
A client diagnosed with esophageal varices has a Sengstaken-Blakemore tube. What is the most important safety intervention for this client?
Correct answer
A
Rationale
Keeping scissors at the bedside allows quick tube removal in case of airway obstruction or bleeding, prioritizing safety. Mouth care prevents infections but is less critical. Deflating the balloon may cause bleeding. Monitoring IV fluids prevents fluid overload but is not the most important.