After an endoscopic procedure with a local anesthetic, what priority action should the practical nurse (PN) include in the client’s plan of care?

After an endoscopic procedure performed with local anesthetic, the priority action in the client’s plan of care is to assess the gag reflex. This is crucial because local anesthetics can temporarily inhibit the sensation and motor function in the throat, increasing the risk of aspiration if the gag reflex is impaired. Ensuring that the gag reflex is intact allows the nurse to determine if the patient is safe to consume oral fluids or food. This assessment helps protect the client's airway and prevent complications that could arise from swallowing issues.

Monitoring vital signs, assessing clarity of speech, and encouraging deep breathing exercises are important aspects of post-procedural care but do not specifically address the immediate concerns related to the effects of local anesthesia in the throat. Monitoring vital signs is part of routine care, while clarity of speech may not be immediately impacted by the anesthetic used during the procedure. Deep breathing exercises are beneficial for overall recovery but are secondary to ensuring the gag reflex is functioning properly for safety after the procedure.