A nurse is caring for a client following an esophagogastroduodenoscopy (EGD). Which of the following findings indicate to the nurse that the client can resume oral intake?

A. The client is alert and oriented: While alertness is important for overall safety, it does not confirm that the client can safely swallow without risk of aspiration. Mental status alone is not sufficient to determine readiness for oral intake after an EGD. B. The client's gag reflex is active: An active gag reflex indicates that the client’s protective airway mechanisms are intact, reducing the risk of aspiration. This is the key criterion for safely resuming oral intake following anesthesia or sedation for an EGD. C. The client's oxygen saturation is 95%: Oxygen saturation within normal limits shows adequate oxygenation but does not ensure safe swallowing. A client can have normal oxygen levels and still be at risk for aspiration if the gag reflex is absent or impaired. D. The client's vital signs are stable: Stable vital signs suggest cardiovascular and hemodynamic stability but do not confirm that the client can safely tolerate oral intake. Assessment of swallowing and airway protection is the priority before resuming food or fluids.