Which action must the nurse perform when providing oral hygiene for an unconscious client?
Change Image Delete
A. Swab the client's lips, teeth, and gums with lemon glycerin. B. Clean the client s tongue with gloved fingers. C. Place the client in semi-Fowler's position. D. Place the client in a side-lying position.
Place the client in a side-lying position.-rationale: an unconscious client is at risk for aspiration. to decrease this risk, the nurse should place the client in a side-lying position when performing oral hygiene. swabbing the clients lips, teeth, and gums with lemon glycerin would promote tooth decay. cleaning an unconscious clients tongue with gloved fingers wouldnt be effective in removing oral secretions or debris. placing the client in semi-fowlers position would increase the risk of aspiration.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1165.