The practical nurse (PN) is assigned to care for a client that is unconscious and at risk for aspiration. The PN prepares to provide oral care to the client. Which action should the PN take next?
Position an emesis basin under the chin.
Insert an oral airway into the oropharynx.
Put the foam toothette between the lips.
Place the client in a side-lying position.
The Correct Answer is D
A. Position an emesis basin under the chin:
Used for conscious clients; aspiration risk here makes side positioning a priority.
B. Insert an oral airway into the oropharynx:
May be indicated but not before positioning to protect airway.
C. Put the foam toothette between the lips:
Oral care should begin only after safe positioning is ensured.
D. Place the client in a side-lying position:
Reduces aspiration risk in unconscious clients during oral care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Contact the facility's chaplain for spiritual support: This addresses the client's expressed spiritual need, consistent with holistic end-of-life care.
B. Encourage client to remain hopeful for recovery: Inappropriate in hospice care; focus should be on comfort and emotional needs, not unrealistic recovery goals.
C. Invite family and staff to pray at the client's bedside: This may be supportive, but should only be done if the client requests it.
D. Ask family to request that the client's clergy visit: This puts responsibility on family instead of directly meeting the client's stated wish.
Correct Answer is D
Explanation
A. Foreign body:
Not a contraindication for ketorolac use; removal is priority.
B. Chemical burn:
Requires irrigation and emergency care, not NSAID eye drops.
C. Radiation exposure:
May cause eye irritation but not a contraindication for ketorolac.
D. Corneal abrasion:
Ketorolac can delay healing of corneal abrasions; contraindicated.
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