What is the highest priority nursing action after a client has undergone esophagogastroduodenoscopy?

The highest priority nursing action after a client has undergone esophagogastroduodenoscopy (EGD) is to assess for the return of the gag reflex. After this procedure, it is crucial to ensure that the gag reflex has returned before allowing the patient to consume any food or fluids. This reflex is vital for protecting the airway and preventing aspiration, which can lead to severe complications, including aspiration pneumonia.

Immediately following EGD, patients are often sedated and may have an altered level of consciousness, which can temporarily affect their gag reflex. If the gag reflex has not returned, there is an increased risk of choking or aspiration if the patient attempts to eat or drink. Therefore, confirming the return of this reflex is essential prior to any oral intake.

Other actions, such as monitoring temperature, giving warm gargles for a sore throat, or monitoring complaints of heartburn, are important but secondary to ensuring that the patient’s airway is protected. These actions can be addressed once it is confirmed that the patient is safe to begin oral intake.