A nurse is caring for a semiconscious client in the postanesthesia care unit. Th
ID: 244394 • Letter: A
Question
A nurse is caring for a semiconscious client in the postanesthesia care unit. The client begins to try to expel the oropharyngeal airway. What should the nurse do?
A.
Explain to the client that the airway needs to remain in place.
B.
Maintain the use of wrist restraints until the client is fully alert.
C.
Remove the airway from the client's mouth
D.
Place the client in the lateral position
A nurse is caring for a semiconscious client in the postanesthesia care unit. The client begins to try to expel the oropharyngeal airway. What should the nurse do?
A.
Explain to the client that the airway needs to remain in place.
B.
Maintain the use of wrist restraints until the client is fully alert.
C.
Remove the airway from the client's mouth
D.
Place the client in the lateral position
Explanation / Answer
The correct answer is option B.
Explanation : In case of semiconscious pateints who aren't aware and alert of what they are doing, use of wrist restraints is the best solution. This is because as they aren't fully conscious so they can't understand Explanations or commands as in option A. Also airway can't be removed as it will cause a threat to patient's life and placing the client in lateral position might not do much .Thus the correct answer is option B
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