A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

Vigorously brush the client’s teeth

Turn the client to the side

Hold the toothbrush at a 90-degree angle

Place two fingers in the client’s mouth

Answer and Explanation

The Correct Answer is B

Turning the client to the side can help prevent aspiration while performing oral care on an unconscious patient.

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Correct Answer is C

Explanation

Opioid toxicity can cause difficulties with breathing and an opioid overdose can lead to death1. A respiratory rate of 10/min is considered low and could be a sign of opioid toxicity.

A. Allow the client’s feet to air dry. B. Soak the client’s feet prior to washing. C. Apply moisturizer between the client’s toes. D. Use warm water to wash the client’s feet.

Correct Answer is D

Explanation

The nurse should plan to use warm water to wash the client’s feet as part of proper foot care. Warm water can help soften the skin and nails, making it easier to clean and trim the nails. It is also important to avoid soaking the feet, as this can dry out the skin and increase the risk of infection.

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A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has opioid toxicity. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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