NCLEX-PN® ExaminationBasic Care and ComfortMedium
An LPN is providing oral hygiene for an unconscious client. Which action is most important to prevent aspiration during this procedure?
- AUse a soft-bristle toothbrush to avoid gum irritation.
- BPosition the client in a side-lying position with the head turned to the side.
- CPerform oral care quickly to minimize discomfort.
- DUse a small amount of toothpaste or mouthwash.
Show answer & explanationAnswer & explanation
Correct answer: B. Position the client in a side-lying position with the head turned to the side.
For an unconscious client, the greatest risk during oral hygiene is aspiration. Positioning the client in a side-lying position with the head turned to the side allows gravity to drain fluids and secretions out of the mouth, preventing them from entering the airway.
Why the other options are wrong
- A. Using a soft-bristle brush is good for gum health but does not directly prevent aspiration.
- C. Performing oral care quickly might lead to rushed technique and increase aspiration risk; thoroughness and safety are paramount over speed.
- D. While using small amounts is good, the primary prevention of aspiration comes from proper positioning, not just the quantity of oral care products.
Oral Hygiene for Unconscious Client
Maintaining oral health and preventing complications like aspiration and infection in clients unable to perform self-care.
- Aspiration is the primary risk.
- Proper positioning is crucial.
- Use minimal fluid and suction as needed.
Memory trick: Turn the head, let gravity guide the drip, keep lungs clear.