Rationale: 6. A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take wh

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Rationale 6 A Nurse Is Caring For A Client Who Is Unconscious Which Of The Following Actions Should The Nurse Take Wh 1 (68.1 KiB) Viewed 52 times

Rationale: 6. A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when providing oral care for the client? A. Test for the presence of the client's gag reflex B. Place the client in the supine position C. Use a firm toothbrush for tooth and gum care D. Use 2 gauze wrapped fingers to hold the mouth open. Rationale: 7. A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take? A. Secure the restraints using a quick-release tie. B. Ensure four fingers fit under the restraints to prevent constriction. C. Secure the restraints to the lowest bar of the side rail. D. Anticipate removing the restraints every 4 hr. Rationale: 8. A nurse is caring for an older adult client who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs? A. Call the family and ask them to stay with the client. B. Move the client to a room closer to the nurses' station. C. Apply wrist and leg restraints to the client. D. Administer medication to sedate the client.