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    Hesi lpn exit proctored examQuestion 69
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    Hesi lpn exit proctored exam

    The practical nurse (PN) is assigned to care for a client that is unconscious and at risk for aspiration. The PN prepare oral care to the client as seen in the picture. Which action should the PN take next?

    Explanation & Rationale

    A. Put the foam toothette between the lips: Using a toothette helps with oral hygiene, but if the client is at risk for aspiration, placing it in the mouth without proper positioning could allow fluids to enter the airway. B. Position an emesis basin under the chin: An emesis basin is useful for catching secretions, but it does not prevent aspiration. The client must first be positioned safely to reduce the risk of choking. C. Place the client in a side-lying position: Positioning the client on their side helps maintain airway patency and allows oral secretions to drain, reducing the risk of aspiration during oral care. This is the priority action before performing oral hygiene. D. Insert an oral airway into the oropharynx: An oral airway is used to maintain airway patency in unconscious clients, but it is not required solely for safe oral care and may cause trauma if inserted unnecessarily. Positioning first is safer.

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