Which nursing intervention is appropriate for a patient with reduced consciousness who has an intact gag reflex but cannot manage oral secretions effectively?
Correct answer: A. Maintain airway support and suction secretions as needed
- A. Maintain airway support and suction secretions as needed
- B. Offer frequent oral fluids to clear the throat
- C. Place the patient supine without head support
- D. Give oral tablets with a small amount of water
Explanation
Airway protection and breathing take priority in a patient with reduced consciousness, so secretions should be cleared while airway support is maintained. Oral fluids and tablets increase aspiration risk, and an unsupported supine position may further compromise the airway.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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