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Zorluk: KolayBasic Care and Comfort

A nurse is preparing to perform oral care for a client who is unconscious. To prevent the complication of aspiration, which position should the nurse place the client in?

  1. Side-lying (lateral) positionCevap
  2. B
    Supine position with the head flat
  3. C
    High Fowler's position
  4. D
    Trendelenburg position

Cevap

The side-lying (lateral) position is the safest choice to prevent aspiration during oral care for an unconscious client.
For an unconscious client, the primary safety concern during oral care is the risk of aspiration. Placing the client in a side-lying (lateral) position allows fluids and secretions to drain out of the mouth by gravity, preventing them from entering the airway.

Adım Adım Çözüm

1
Assess the client's level of consciousness and ability to protect their airway.
The client is determined to be unconscious and cannot voluntarily swallow or expectorate fluids.
Identifying the client's inability to protect the airway dictates the need for gravity-assisted drainage during procedures.
2
Select a position that utilizes gravity to facilitate the drainage of fluids from the mouth.
The side-lying (lateral) position is chosen for the procedure.
This position ensures that any water, toothpaste, or oral secretions naturally flow out of the mouth rather than backward into the trachea.

Anahtar Kavram

Safe Positioning for Aspiration Precautions
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Konular

Basic Care and Comfort

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