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Answer :
Final answer:
The nurse should place the call bell within reach for Ms. Jackson, as she is not responding to verbal stimuli. This will allow her to alert the nurse if she needs assistance.
Explanation:
The nurse should first place the call bell within reach for Ms. Jackson, as she is not responding to verbal stimuli. This will allow her to alert the nurse if she needs assistance. While positioning the client on her side, observing the surgical dressing, and removing the oral airway are important nursing actions, ensuring that the client can call for help is the priority in this situation.
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