A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made after the procedure would indicate the development of a potential complication?
A. The client complains of a sore throat.
B. The client displays signs of sedation.
C. The client experiences a sudden increase in temperature.
D. The client demonstrates a lack of appetite.
Correct Answer: C. The client experiences a sudden increase in temperature.
The most likely complication of an endoscopic procedure is perforation. A sudden temperature spike within 1 to 2 hours after the procedure is indicative of perforation and should be reported immediately to the physician. This most commonly occurs when additional procedures are carried out at the same time. The infections are normally minor and treatable with a course of antibiotics.
Option A: A sore throat is to be anticipated after an endoscopy. Risks of endoscopy may include persistent pain in the area of the endoscopy or a numb throat for a few hours due to the use of a local anesthetic.
Option B: Clients are given sedatives during the procedure, so it is expected that they will display signs of sedation after the procedure is completed. Risks of endoscopy may include over-sedation, although sedation is not always necessary.
Option D: A lack of appetite could be the result of many factors, including the disease process. There may be some soreness. With this type of endoscopy, there may be bloating and soreness, but these usually resolve quickly.
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