Saunders Respiratory Practice

In which position should the client's bed be placed for effective nasotracheal suctioning?

1. Trendelenburg position

2. Supine position

3. Fowler's position

4. Prone position

The correct answer is: Fowler's position

For effective nasotracheal suctioning, positioning the client in Fowler's position is most beneficial. This position involves sitting the patient up at an angle, typically 45 to 90 degrees, which helps facilitate easier access to the airway and improves respiratory mechanics. When the client is in Fowler's position, gravity aids in the drainage of secretions from the upper airways, making it simpler to perform suctioning and decreasing the risk of aspiration. Additionally, this position enhances the patient's comfort and allows for better lung expansion, which is crucial for optimal oxygenation during the procedure. Trendelenburg position, while sometimes used for certain conditions, can increase the risk of aspiration and may compromise respiratory function by allowing secretions to move further into the airway. The supine position, although commonly used, does not provide the same airway advantages as Fowler's position, particularly in terms of access and drainage. Prone position is not appropriate for nasotracheal suctioning, as it severely limits access to the airway and may lead to further complications. Overall, Fowler's position is the optimal choice for facilitating safe and effective nasotracheal suctioning.