Question

a nurse is preparing to perform oral care for a client who is unresponsive. which of the following actions should the nurse plan to take? place the client supine. keep both side rails up. raise the level of the bed. inspect the clients mouth using a finger sweep.

Explanation:

When performing oral - care for an unresponsive client, keeping both side rails up helps prevent the client from falling out of bed during the procedure. Placing the client supine can increase the risk of aspiration. Raising the level of the bed is not a necessary step for oral care. Finger sweeps are not used for oral inspection in unresponsive clients as they can cause injury and are only used in specific airway - clearing situations.

Answer:

Keep both side rails up