Oregon Certified Nursing Assistant State Practice Exam

To prevent aspiration during oral care of unconscious residents, what should be done?

1. A. Use as little liquid as possible when giving oral care

2. B. Turn residents on their stomachs

3. C. Avoid giving frequent mouth care

4. D. Pour water quickly into the resident's mouth

The correct answer is: A. Use as little liquid as possible when giving oral care

Using as little liquid as possible during oral care of unconscious residents is important to minimize the risk of aspiration. Aspiration occurs when liquid or food enters the airway instead of being swallowed properly, which can lead to serious complications such as pneumonia. By limiting the amount of liquid used, the caregiver can more easily control and manage any moisture in the resident's mouth, reducing the chances of it spilling into the throat or airway. This practice helps maintain safety during oral care, especially since unconscious individuals may not be able to protect their airway or effectively swallow. The other options do not effectively address the prevention of aspiration. Turning residents on their stomachs is not a safe or appropriate position for oral care and could increase the risk of suffocation. Avoiding frequent mouth care is counterproductive, as regular oral hygiene is crucial for preventing infection and maintaining oral health. Quickly pouring water into the resident's mouth could overwhelm their swallowing reflex and increase the likelihood of aspiration, particularly since they may not be under control of their swallowing reflex due to their unconscious state.