What instruction should the nurse give the family for oral care of a client in a coma?

The recommendation to place the client in a side-lying position during oral care is vital for several reasons. First, this position helps to reduce the risk of aspiration, which is particularly important for clients who are in a coma and have compromised swallowing reflexes. When a person is unable to protect their airway, aspirating fluids can lead to serious complications like pneumonia.

Positioning the patient on their side enables any secretions or fluids in the mouth to drain out rather than being swallowed, which is especially important for a comatose individual. It also allows for easier access to the oral cavity for care without the risk of choking.

This position aids in maintaining the safety and comfort of the client during oral hygiene practices. Other practices such as the frequency of tooth brushing, ensuring the sitting position, or the type of mouthwash used would not adequately address the critical safety concerns associated with aspiration in a comatose patient.