The nurse is caring for a patient who has just undergone a bronchoscopy and has been in recovery for the last 15 minutes. The nurse should be especially watchful for which of the following? (Select all that apply.)
a. Return of the gag reflex
b. Laryngospasm
c. Respiratory status
d. Facial or neck crepitus
B, C, D
Laryngospasm with bronchospasm evidenced by sudden, severe shortness of breath is an unexpected and potentially lethal outcome. Call the health care provider or physician immediately, prepare emergency resuscitation equipment, and anticipate a possible cricothyrotomy. Observe respiratory status closely, particularly for facial or neck crepitus. This is an early sign of bronchial perforation. The gag reflex does not normally return until 2 hours after the procedure.
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