To facilitate insertion of a nasopharyngeal airway, you should lubricate the bevel and flex the top portion, inserting on the right side first.

• A. Do not lubricate; insert on left side
• B. Lubricate the bevel and flex the top portion; insert on the right side first
• C. Insert upside down and rotate 180 degrees
• D. Insert immediately without guidance

Answer: (B)

Inserting a nasopharyngeal airway safely hinges on minimizing tissue trauma while guiding the device along the nose’s natural curve. Lubricating the bevel reduces friction and mucosal tearing as the tube passes through the nasal passages. Flexing the top portion helps the airway follow the nasal floor and the pharyngeal curve rather than forcing a rigid path. Starting on the right side first is a practical choice because, for many patients, the right nostril provides a straighter, more patent route, making the initial insertion easier. If you meet resistance or observe trauma on that side, you can reassess and use the other nostril or adjust your angle rather than forcing it.

Not lubricating and using the opposite side could increase friction and tissue injury. Inserting upside down and rotating 180 degrees is a technique from oropharyngeal airway use, not appropriate for a nasopharyngeal airway. Inserting without guidance risks severe injury or incorrect placement.