A nurse is caring for an unresponsive client. The client is ...

[CBme]

A nurse is caring for an unresponsive client. The client is breathing through the mouth. The client's mouth is frequently dry because of medications the client is receiving.
 
  What is the anticipated time frame that the nurse needs to perform oral hygiene for this client? A) 30 minutes
  B) 60 minutes
  C) 90 minutes
  D) 120 minutes

Question 2

A client is receiving a tube feeding at 50 mL/h. The bag contains 500 mL. How many hours will this bag last?
 
  A) 2.5 hours
  B) 5 hours
  C) 7.5 hours
  D) 10 hours

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Answer to Question 1

B
Feedback:
For the client who is unresponsive and breathing through the mouth, for example, oral hygiene is often ordered every 60 minutes, not every 30 minutes, 90 minutes, or 120 minutes, because of the extreme dryness.

Answer to Question 2

D
Feedback:
The nurse would use the following ratio to calculate the dosage:
50 mL/hour = 50 mL/X hours
50 mL  X hours = 1 hour  500 mL
X = 500/50 = 10 hours