Final answer:
The inappropriate nursing measure for providing oral hygiene to a stroke patient is opening the client's mouth with a padded tongue blade as it could cause injury or discomfort.
Step-by-step explanation:
The provision of oral hygiene for a stroke patient is crucial, but it must be done properly to avoid causing harm or discomfort. Let's go through the options you've listed and identify which one is inappropriate.
Inappropriate Nursing Measure for Oral Hygiene
Option A: Placing the client on the back with a small pillow under the head might not always be safe. After a stroke, the client's ability to swallow or clear the throat may be impaired, and this position could increase the risk of aspiration.
Option B: Keeping portable suctioning equipment at the bedside is definitely appropriate as it can be used to clear secretions if the patient has difficulty swallowing or coughing them up on their own.
Option C: Opening the client's mouth with a padded tongue blade is not typically recommended as it could cause injury or discomfort to a stroke patient with sensitive oral structures or reflex issues.
Option D: Cleaning the client's mouth and teeth with a toothbrush, as long as the toothbrush is soft and the process is done gently, is usually considered appropriate.
So, the inappropriate measure here is Option C: Opening the client's mouth with a padded tongue blade.