An unconscious patient requires mouth care every 2 hours. Before attempting mouth care, the nurse should first:
A. assess the patient for a gag reflex.
B. position the patient in a prone position.
C. have an operational suction machine nearby.
D. retract the upper and lower teeth with a padded tongue blade.
A
The prone position is face down, which is not the position of choice. After you check for the gag reflex, a suction machine is necessary to remove secretions. A padded tongue blade is used to hold the mouth open.
You might also like to view...
A client has been brought to the emergency department with a life-threatening chest injury. What action by the nurse takes priority?
a. Apply oxygen at 100%. b. Assess the respiratory rate. c. Ensure a patent airway. d. Start two large-bore IV lines.
The critical care environment is stressful to the patient. Which interventions assist in reducing this stress? (Select all that apply.)
a. Adjust lighting to promote normal sleep-wake cycles. b. Provide clocks, calendars, and personal photos in the patient's room. c. Talk to the patient about other patients you are caring for on the unit. d. Tell the patient the day and time when you are providing routine nursing interventions.
A client is brought into the emergency department by the rescue squad after involvement in a motorcycle accident with a severe spinal cord injury. What type of illness does the LPN view this event?
A) Terminal B) Acute C) Chronic D) Catastrophic
The terms dermatology and dermatitis derive from the Greek word derma, which means:
a. Water b. Stone c. Tongue d. Skin