The nurse is caring for an unconscious patient. What should the nurse expect to be prescribed for this patient when the cough reflex disappears?
1. continuous pulse oximetry instead of intubation
2. frequent suctioning with a tonsil-tip suction device
3. close observation as the patient is fed
4. intubation and mechanical ventilation
Correct Answer: 4
This patient is at risk for impaired airway and aspiration. Oximetry would be done in addition to intubation and mechanical ventilation. Frequent oropharyngeal suctioning will not adequately protect the airway and the suctioning will cause hypoxia. No unconscious patient should be fed food or fluids.
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