For unconscious resident mouth care, which arrangement is correct?

• A. Do not provide mouth care to unconscious residents.
• B. Rely on the resident to manage their own mouth care.
• C. Use dry gauze only without suction.
• D. Place in a side-lying position with head turned, use moistened swabs, avoid forcing saliva, suction available if needed.

Answer: (D)

Unconscious residents can’t protect their airway, so mouth care must minimize aspiration risk while keeping the mouth clean and moist. Placing the resident in a side-lying position with the head turned to the side allows saliva and fluids to drain away from the airway. Use moistened swabs or gauze to clean the mouth—never dry materials—and avoid forcing saliva, which can trigger choking or aspiration. Have suction available and be prepared to remove any secretions or fluids as needed. This setup protects the airway, maintains oral hygiene, and supports comfort for someone who cannot manage their own mouth care.