Certified Registered Nurse Anesthetist (CRNA) Practice Exam

What is a key consideration for patients undergoing tracheal intubation?

1. Active vomiting

2. Routine strength testing

3. Maintaining a stable heart rate

4. Controlling anxiety levels

The correct answer is: Active vomiting

Active vomiting is a critical consideration for patients undergoing tracheal intubation because it poses a significant risk of aspiration. When a patient is in the process of being intubated, the airway is compromised, making it easier for stomach contents to enter the trachea and subsequently the lungs. This can lead to serious complications such as aspiration pneumonia, which can significantly impact the patient's respiratory status and overall recovery. In situations where active vomiting is present, it may be necessary to take specific precautions, such as suctioning the contents from the airway or utilizing rapid sequence intubation (RSI) techniques. This method minimizes the time between sedation and intubation, helping to reduce the risk of aspiration. While other factors, such as routine strength testing, maintaining a stable heart rate, and controlling anxiety levels, are also important aspects of patient management and may affect the intubation process or the patient's overall experience, active vomiting is inherently linked to a direct and urgent risk during the procedure. Thus, it demands immediate attention and careful planning to ensure patient safety during intubation.