A nurse is providing oral care to a patient who is comatose. What action best addresses the patient's risk of tooth decay and plaque accumulation?
A) Irrigating the mouth using a syringe filled with a bacteriocidal mouthwash
B) Applying a water-soluble gel to the teeth and gums
C) Wiping the teeth and gums clean with a gauze pad
D) Brushing the patient's teeth with a toothbrush and small amount of toothpaste
Ans: D
Feedback:
Application of mechanical friction is the most effective way to cleanse the patient's mouth. If the patient is unable to brush teeth, the nurse may brush them, taking precautions to prevent aspiration; or as a substitute, the nurse can achieve mechanical friction by wiping the teeth with a gauze pad. Bacteriocidal mouthwash does reduce plaque-causing bacteria; however, it is not as effective as application of mechanical friction. Water-soluble gel may be applied to lubricate dry lips, but it is not part of oral care.
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