Basic Care and Comfort Practice Question

Question

The nurse is caring for a client who is NPO and is focused on oral care scenario 1. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Delegate the clinical assessment and nursing judgment to assistive personnel.
3. C. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
4. D. Provide frequent oral hygiene for clients who are npo or dependent.

Correct Answer

D. Provide frequent oral hygiene for clients who are npo or dependent.

Explanation

The priority action for oral care is to provide frequent oral hygiene for clients who are NPO or dependent. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: hard
• Domain: Basic Care and Comfort
• Objective: oral care

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