After a bronchoscopic examination, the patient must remain NPO (nothing by mouth) until the return of the gag reflex. How can the nurse determine when the gag reflex has returned?
a. Ask the patient to swallow.
b. Give the patient a sip of water.
c. Touch the back of the throat with a cotton swab.
d. Touch the roof of the mouth with a gloved finger.
ANS: C
The patient is NPO following bronchoscopy until the gag reflex returns. Check for the gag reflex by touching the pharynx with a cotton swab. A. B. After the gag reflex returns, ask the patient to swallow a sip of water before offering foods or fluids. D. Touching the roof of the mouth with a gloved finger does not assess for the gag reflex.
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