Question

A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take?

A) Administer an over-the-counter antacid.

B) Encourage the child to eat spicy foods to promote salivation.

C) Provide oral care with a soft toothbrush and a mild solution.

D) Apply alcohol-based mouthwash to decrease microbial colonization.

E) Offer ice-cold beverages to numb the oral mucosa.

Answer 1

To care for a child with mucosal ulceration from chemotherapy, a nurse should use a soft toothbrush and a mild solution for oral care and avoid irritants like alcohol-based mouthwashes or spicy foods. Offering ice-cold beverages may also provide some relief.

Step-by-step explanation:

A nurse caring for a preschool-age child with mucosal ulceration following chemotherapy should take several actions to provide comfort and promote healing. One critical action is to provide oral care with a soft toothbrush and a mild, non-irritating solution, such as saltwater or a specially formulated mouthwash designed for patients undergoing chemotherapy. This can help maintain oral hygiene without further irritating the ulcers. It is also important to avoid alcohol-based mouthwashes and spicy foods, as these can exacerbate irritation and discomfort. Instead, offering ice-cold beverages can help to numb the oral mucosa and provide some relief. Medications such as antacids may alleviate symptoms, but they are not a first-line treatment for chemotherapy-induced mucosal ulceration. Care should be personalized to the child's needs and professional recommendations.