During nasopharyngeal suctioning, the presence of bloody secretions indicates the nurse should immediately:

The presence of bloody secretions during nasopharyngeal suctioning is a signal that something may be wrong, potentially indicating trauma or irritation to the nasal passages or airway. In such cases, it is crucial to decrease the suction pressure being applied. Reducing suction pressure helps minimize further trauma and irritation to the delicate mucous membranes, which could exacerbate bleeding.

This adjustment is a vital initial response that allows for safer suctioning while protecting the patient’s airway integrity. Additionally, it promotes a gentler approach, which is especially necessary when there are signs of bleeding, helping to reduce the risk of additional damage or discomfort for the patient.

While notifying the health care provider and checking the catheter size may be relevant actions at some point, the immediate priority is to ensure the suctioning is done safely and gently to prevent further complications. Continuing suctioning gently without addressing the pressure first could lead to worsening of the patient's condition, and thus it is essential to modify the suction pressure right away.