The nurse has placed an oropharyngeal airway in a client. What action should the nurse take at this time?
1. Tape the airway in place.
2. Suction the client.
3. Turn the client's head to the side.
4. Insert a nasal trumpet.
Correct Answer: 3
Rationale 1: The airway should not be taped in place as it would then act as an airway obstruction if dislodged.
Rationale 2: While suctioning the client is possible with the airway in place, the client should be suctioned only when it is necessary.
Rationale 3: The nurse should turn the client's head to the side to allow drainage of oral secretions.
Rationale 4: Insertion of a nasal trumpet or nasopharyngeal airway is not necessary when the oropharyngeal airway is in place.
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