After repeated nasotracheal suctioning over 2 days, a patient with retained secretions develops minor bleeding through the nose. Which of the following actions would you recommend?
a. Perform a tracheotomy for better access to the lower airway.
b. Discontinue nasotracheal suctioning for 48 hr and reassess.
c. Stop the bleeding and use a nasopharyn-geal airway for access.
d. Orally intubate the patient for better ac-cess to the lower airway.
ANS: C
Placement of a nasopharyngeal airway can help minimize nasal trauma when repeated access is needed.
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