The nurse is unable to pass the suction catheter through the client's naris. Which does the nurse implement to facilitate catheter passage through the nose for suctioning?
1. Apply suction to catheter.
2. Insert a pliable nasal airway.
3. Instruct client to bear down.
4. Insert along roof of the naris.
2
2. The nurse inserts a soft, nasal airway into a naris to facilitate passage of a suction catheter because the pliable tube is usually easier to insert than the suction catheter and is less traumatic for the client. Once the airway is in place, the nurse coats the sterile suction catheter with lubricant and inserts the catheter into the airway, contin-ues until the catheter reaches the trachea, and suctions during catheter withdrawal.
1. Applying suction to the catheter impedes passing the catheter through the naris because it is likely to cause the catheter to catch and traumatize the nasal mucosa during catheter passage.
3. Bearing down impedes passing the catheter because it engorges tissues. If the nasal passageway engorges, it becomes a smaller passageway.
4. The nurse inserts a catheter for nasal suctioning along the floor of the naris because the roof of the nose is composed of turbinates.
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