Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

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Which of the following actions is NOT advised when caring for a patient with a nasotracheal catheter who is gagging?

Remove the catheter.
Clamp the catheter.
Monitor the patient's vital signs.
Apply suction while inserting.

The correct answer is: Apply suction while inserting.

In the context of caring for a patient with a nasotracheal catheter who is gagging, applying suction while inserting the catheter is not advised. This is primarily because suctioning during the insertion process can cause irritation to the airway, increase the gag reflex, and lead to distress for the patient. The gagging itself is a sign that the airway may already be compromised or that the patient is responding negatively to the catheter, and introducing suction at that moment could exacerbate the situation, leading to further complications such as hypoxia or injury to the airway. Maintaining appropriate care involves removing the catheter if the gagging persists, as this action can help alleviate discomfort and prevent potential airway obstruction. Clamping the catheter may also be advisable in situations of gagging to prevent further irritation or airway irritation while other interventions are initiated. Monitoring the patient's vital signs is essential for assessing the overall stability and any changes in their condition. Ensuring the patient remains safe and comfortable should always be the priority in such scenarios.