Which airway adjunct is used if a client has a gag reflex?

The nasopharyngeal airway is indicated in situations where a patient has an intact gag reflex because it is designed to be tolerated better by conscious patients. This airway adjunct is inserted through the nasal passage, allowing for airway maintenance without triggering the gag reflex, which can occur with other types of airways like the oropharyngeal airway.

Oropharyngeal airways are not suitable in patients with a gag reflex, as they can cause discomfort and lead to gagging or vomiting. Tracheostomy tubes and endotracheal tubes are invasive procedures that usually require significant sedation or intubation, which would not be appropriate for someone who can still protect their airway and has a gag reflex. Therefore, the nasopharyngeal airway serves as a better option for maintaining the airway in patients who retain some protective reflexes.