NREMT EMR First Responder

Category - Airway Management

All of the descriptions below relate to the use of nasopharyngeal airways except one. Which statement does not apply to the use of nasopharyngeal airways?
  1. Nasopharyngeal airways are more appropriate than oropharyngeal airways when dealing with patients who have a gag reflex.
  2. Unlike oropharyngeal airways, nasopharyngeal tubes do not require the repositioning of a patient’s head or prying the patient’s mouth open.
  3. Nasopharyngeal airways’ diameter should be sized to match the nostril opening (or patient’s little finger diameter) and its length should be sized from the patient’s nose to the patient’s earlobe.
  4. Nasopharyngeal airways are preferred alternatives to oropharyngeal airways when a patient has injuries to the teeth, mouth, oral cavity, face, or head.
  5. Unlike oropharyngeal airways, nasopharyngeal airways should be lubricated with a water-based lubricant prior to being inserted.
Explanation
Answer: D - Although nasopharyngeal airways are preferred to oropharyngeal airways in patients who have injuries to their teeth, mouth, or oral cavity, nasopharyngeal airways should not be used with patients who may have facial or head injuries. This is because fractures may allow the airway to enter the cranial cavity and cause damage to the brain.
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