A nurse is caring for an unresponsive client. Which therapeutic nursing intervention is appropriate when providing mouth care to this client?
A) Have a suction catheter available, if ordered.
B) Avoid using cleansing solutions.
C) Avoid using a tongue blade.
D) Put the client in a supine position.
A
Feedback:
When providing mouth care to an unresponsive client, the nurse should have a suction catheter available, if ordered. Suction equipment is used to remove drainage from the client's mouth to prevent any chance of aspiration. Cleaning solutions help remove residue on the client's teeth and also soften encrusted areas. A tongue blade assists in keeping the client's mouth open. The client should be placed in the side-lying and not supine position, to encourage the fluid to drain out of the mouth and prevent choking.
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