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

During oropharyngeal suctioning for a patient with left-sided paralysis, the best position for the patient is:

1. Supine, lying flat

2. Side lying on the left

3. Semi-Fowler's or upright

4. Side lying on the right

The correct answer is: Semi-Fowler's or upright

The best position for a patient with left-sided paralysis during oropharyngeal suctioning is semi-Fowler's or upright. This position promotes optimal airway clearance and allows for better drainage of secretions. The elevation of the head provides gravity assistance in preventing aspiration, which is particularly important for individuals with dysphagia or compromised airway reflexes. Additionally, an upright or semi-Fowler's position enhances the effectiveness of the suctioning procedure by allowing the healthcare provider better access to the oropharynx without the risk of the patient sliding down or becoming unstable. This position also helps maintain adequate oxygenation and ventilation during the procedure. While side-lying positions may seem beneficial in some scenarios, in this case, the risk of aspiration is higher if the patient is positioned on the left side, given their left-sided paralysis. Lying flat would further predispose the patient to aspiration and impede respiratory function. Therefore, the semi-Fowler's or upright position is the most appropriate and safe option for performing oropharyngeal suctioning in this context.