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 B

Explanation

An oxygen saturation of 88% is below the normal range of 95-100%, indicating that the client may be experiencing hypoxia. Encouraging the client to take deep breaths can help increase their oxygen saturation level.

A. Heart rate 112/min B. Blood pressure 168/90 mm Hg C. Respiratory rate 10/min D. Temperature 38.2°C (100.8°F)

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.

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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 caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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