What is the priority nursing action when hypotension and bradycardia occur during nasotracheal suctioning?

• A. Administer intravenous fluids
• B. Stop the suctioning procedure immediately
• C. Report to the primary health care provider
• D. Administer 100% oxygen manually to the client

Answer: (B)

When nasotracheal suctioning triggers a vagal response, it can cause a sudden drop in heart rate and blood pressure. The most urgent action is to stop the suctioning immediately to remove the stimulus and prevent further bradycardia and hypotension. After halting the procedure, quickly reassess the patient, ensure the airway integrity, and provide supportive care such as oxygen if needed. If instability continues, notify the healthcare provider and follow protocol for further management. The key idea is that stopping the suctioning stops the trigger and stabilizes the patient first, before proceeding with additional interventions.