ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Turn the client to the side. This action is important to prevent aspiration, as turning the client to the side helps to ensure that any excess water or oral care solution can safely drain out of the mouth. This position also helps to prevent choking and aspiration of secretions.
Explanation of why other choices are incorrect:
A: Vigorously brushing the client's teeth can be harmful and uncomfortable for an unconscious client.
B: Holding the toothbrush at a 90° angle is a general guideline for tooth brushing but may not be the priority when the client is unconscious.
C: Placing fingers in the client's mouth is not recommended as it can be invasive and potentially cause harm or discomfort.
E, F, G: These options are not provided, but they would likely be incorrect as they do not address the specific need to prevent aspiration during oral care for an unconscious client.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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