The nurse observes an unlicensed assistive personnel (UAP) begin to provide oral care to an unresponsive client who is at risk for aspiration as seen in the picture. Which instruction(s) should the nurse provide the UAP? Select all that apply.

A. Flex the client's neck forward: Flexing the neck can obstruct the airway or make drainage of secretions more difficult in an unresponsive client, increasing the risk for aspiration. B. Elevate the head of the bed to semi-Fowler's: Elevating the head promotes drainage of secretions and reduces aspiration risk, making it an appropriate and safe position for providing oral care. C. Turn the client's head to the side: Turning the head to the side allows secretions to drain out of the mouth rather than into the airway, reducing the risk of aspiration in an unresponsive client. D. Remove the gloved finger from the mouth: Placing fingers inside the mouth of an unresponsive client poses a risk of injury to the caregiver and may stimulate gagging or biting reflexes; it should be avoided. E. Apply lubricant to the toothette: Lubricant is not needed on a toothette. It may interfere with cleaning and isn't part of evidence-based oral care procedures. Moisten the toothette with water or prescribed solution instead.