The nurse is caring for an unconscious patient who has an oral airway in place, and who has copious amounts of oral secretions. What may the nurse have to do while caring for this patient? (Select all that apply.)
a. Cleanse the mouth frequently using lemon glycerin swabs.
b. Replace or clean the oral airway.
c. Suction the oral cavity frequently.
d. Keep the airway in place for extended periods.
B, C
Do not use lemon glycerin swabs for oral care because they are drying to mucosal tissues and promote bacterial growth. The oral airway will have to be removed, cleaned or discarded, and replaced in patients with excessive oral secretions. Frequent suctioning of the oral cavity may be required. Oral airways are not a long-term solution. They can cause significant lip and tongue erosion.
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