Which of the following treatments should be avoided in an unconscious, unresponsive patient?

• A. Administering IV fluids
• B. Monitoring vital signs
• C. Performing endotracheal suctioning
• D. Assessing respiratory function

Answer: (C)

In an unconscious and unresponsive patient, performing endotracheal suctioning should be avoided because there is a significant risk of causing injury or distress to the patient. When a patient is unresponsive, their gag reflex is typically impaired or absent, which increases the likelihood of aspiration and airway obstruction during such procedures. Endotracheal suctioning involves the insertion of a suction catheter into the airway, which could stimulate coughing or gagging, leading to further complications in a patient who cannot protect their airway.

Administering IV fluids, monitoring vital signs, and assessing respiratory function are essential practices in managing an unresponsive patient. IV fluids may be necessary for hydration and restoration of blood volume, monitoring vital signs is crucial for assessing the patient's condition and detecting any deterioration, and assessing respiratory function helps ensure that the airway is clear and that the patient is receiving adequate oxygenation. Therefore, these treatments are appropriate and necessary in such situations, while endotracheal suctioning poses additional risks to the patient's safety and well-being.