What is the first step a nurse should take when a patient shows signs of respiratory distress after a bronchoscopic procedure?

The first step a nurse should take when a patient shows signs of respiratory distress after a bronchoscopic procedure is to check for a gag reflex. This is critical because the procedure may involve sedation and manipulation of the airways, which can affect the patient's ability to protect their airway. By assessing the gag reflex, the nurse can determine if the patient can adequately manage their secretions and maintain airway patency.

If the gag reflex is diminished or absent, there may be a higher risk of aspiration or airway obstruction. This assessment helps guide subsequent interventions, such as whether to provide supplemental oxygen or elevate the head of the bed for better respiratory mechanics. Understanding the patient's ability to protect their airway is pivotal in managing respiratory distress effectively.