Question

A nurse is caring for a client who cannot swallow or expectorate. What interventions to keep the mouth and throat free of accumulating secretions should the nurse perform when caring for this client? Select all that apply.

A. Provide frequent mouth care.
B. Apply mineral oil to the lips.
C. Arrange for suctioning to remove mucus.
D. Assist the client to a lateral position.

Answer 1

When caring for a client who cannot swallow or expectorate, the nurse should provide frequent mouth care, apply mineral oil to the lips, arrange for suctioning to remove mucus and assist the client to a lateral position.

Step-by-step explanation:

When caring for a client who cannot swallow or expectorate, the nurse should perform several interventions to keep the mouth and throat free of accumulating secretions.

A. Provide frequent mouth care: This includes swabbing the mouth with a moistened sponge or gauze to remove any accumulated secretions.

B. Apply mineral oil to the lips: This helps to keep the lips moisturized and prevents them from drying out.

C. Arrange for suctioning to remove mucus: If the client is unable to clear secretions on their own, suctioning may be necessary to remove mucus and prevent the airway from becoming blocked.

D. Assist the client to a lateral position: Positioning the client on their side can help prevent the pooling of secretions in the back of the throat, reducing the risk of aspiration.