The nurse is planning to provide teaching about the client's scheduled procedure. Select the 3 statements the nurse should include in the teaching.
Explanation & Rationale
Rationale: A. If the client is undergoing an upper endoscopy (esophagogastroduodenoscopy), they are typically given sedation. Sedation impairs judgment, coordination, and reflexes, so the client must not drive after the procedure and will require a responsible adult to accompany them home. B. The client is likely scheduled for an upper endoscopy (EGD) to evaluate suspected duodenal ulcer and H. pylori infection. This procedure involves inserting a flexible endoscope through the mouth into the esophagus, stomach, and duodenum to visualize and possibly biopsy lesions. C. Mild throat irritation or soreness is a common expected effect after EGD due to passage of the scope through the oropharynx and esophagus. D. An upper endoscopy is typically a short procedure, usually lasting about 15–30 minutes, not 2 hours. Prolonged duration would be atypical unless additional interventions occur, which is not standard teaching. E. After sedation and throat numbing spray used during EGD, the gag reflex is temporarily suppressed. The client must remain NPO until the reflex returns to prevent aspiration. F. Clients undergoing EGD are typically instructed to remain NPO for at least 6–8 hours prior to the procedure to ensure an empty stomach and reduce aspiration risk. Two hours is insufficient preparation time.