Fundamentals Question #37
What intervention should the nurse question for a client whose gag reflex has not yet returned after surgery?
- Pureed diet after the gag reflex has returned
- Order a swallowing study if the gag reflex does not return
- Orders to resume a regular diet
- Maintain NPO status until the gag reflex has returned
The correct answer is C. The client should not receive anything by mouth until the gag reflex has returned. The client can be started on a pureed diet after the gag reflex has returned. It is normal to order a swallowing study when a client cannot swallow properly or the gag reflex is absent. It is appropriate to maintain NPO status until the gag reflex returns.