Which of the following interventions, regarding personal hygiene for a client who is unconscious, performed by ancillary personnel requires immediate follow-up by the RN?
1. Storing the damaged dentures in the client's bedside stand
2. Shaving the client's mustache to facilitate the nasogastric tube
3. Postponing the daily bath until the client's temperature has stabilized
4. Providing oral care with the flavored swabs provided by the client's family
ANS: 2
Do not cut or shave hair without discussion with the client or family. This would need to be a nursing decision, although it is not necessarily required in this situation. The remaining options are not incorrect and so do not need follow-up.
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