Editing Fundamentals of Nursing – LPN Practice Questions (section)

==Question 9==
The licensed practical nurse is performing oral care for an unconscious patient. Which action is correct?
# Place the patient supine with the head of the bed flat.
# Place the patient in a side lying position with the head turned to the side and suction available.
# Use a large volume of mouth rinse to flush the mouth thoroughly.
# Place a gloved finger in the mouth to hold the cheek open.

'''Answer:''' 2. Place the patient in a side lying position with the head turned to the side and suction available.

''Rationale:'' Side lying with the head turned allows secretions and fluid to drain out of the mouth rather than into the airway, and suction must be immediately available because the unconscious patient cannot protect the airway. Option 1 promotes aspiration. Option 3 uses excessive fluid, which increases aspiration risk; a small amount of fluid on a swab or toothbrush is safer. Option 4 risks a bite injury to the nurse; a padded tongue blade or bite block is used instead.