The nurse is planning to provide mouth care to an unconscious client.
Which statement is accurate for implementing mouth care to this client?
Brushing an unconscious client's teeth should be avoided.
Cleaning the inner cheeks and outer gum surfaces with a gauze pad is appropriate for an unconscious client.
Unconscious clients need less frequent mouth care than conscious clients.
Positioning the unconscious client upright is the best method because they are not eating or drinking.
The Correct Answer is B
Cleaning the inner cheeks and outer gum surfaces with a gauze pad is appropriate for an unconscious client.
When mouth care is provided, an unconscious patient is placed in the side-lying position because this prevents secretions from pooling at the back of the oral cavity, lowering the risk of aspiration1.
Choice A is incorrect because brushing an unconscious client’s teeth should not be avoided.
In fact, it is recommended that you brush your teeth at least once every four hours1.
Choice C is incorrect because unconscious clients need regular mouth care just like conscious clients2.
Choice D is incorrect because positioning the unconscious client upright is not the best method.
Instead, they should be placed in a side-lying position to prevent aspiration1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["16"]
Explanation
The healthcare provider prescribed 800,000 units of penicillin and the vial available is labeled 50,000 units/mL.
To calculate the number of mL to administer, you need to divide the total number of units prescribed (800,000) by the number of units per mL (50,000).
This gives you a result of 16 mL.
Therefore, the nurse should administer 16 mL of penicillin to the patient.
Correct Answer is A
Explanation
Guided imagery involves creating a specific imagined reality for yourself.
These techniques can be self-taught or guided by a professional.
The more you’re able to use your imagination and engage your senses, the greater the benefits 1.
Choice B is not the answer because motivational phrases may not be as effective as positive external places in reducing chronic pain through guided imagery.
Choice C is not the answer because tranquil sounds may not be as effective as positive external places in reducing chronic pain through guided imagery.
Choice D is not the answer because emotional reflection may not be as effective as positive external places in reducing chronic pain through guided imagery.
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