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
The Correct Answer is B
Turning the client to the side can help prevent aspiration while performing oral care on an unconscious patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
When caring for a client who has an irregular heart rate, the nurse should auscultate the client’s apical pulse to accurately assess their heart rate1. An electrocardiogram (ECG or EKG) may also be used to measure the timing and duration of each electrical phase in the heartbeat
Correct Answer is A
Explanation
A heart rate of 56/min is considered bradycardia, which is defined as a heart rate slower than 60 beats per minute 1. Bradycardia can prevent the brain and other organs from getting enough oxygen, possibly causing symptoms such as dizziness or light-headedness.
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