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. Suction the trachea: Having suction equipment available helps clear the airway if secretions or vomitus occur during or after a seizure.
B. Apply soft restraints: Restraints are not used for seizure precautions; they can cause injury during seizure activity.
C. Insert a urinary catheter: Not a seizure precaution.
D. Insert a nasogastric tube: Not a seizure precaution and may be dangerous during active seizure.
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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