A client is experiencing mucosal cell damage secondary to chemotherapy. Because of mucosal ulcers, eating has become increasingly uncomfortable for her. Which of the following interventions would be most effective in getting her to eat?
A.
Local anesthetics or mouth washes applied to ulcers 30 minutes prior to meals
B.
A bland, moist, soft diet
C.
Staying with the client and providing distraction during meals
D.
Cleaning the mouth carefully with lemon glycerin swabs and milk of magnesia before meals
(A) Local anesthetics do temporarily relieve the pain but leave an unpleasant taste and numb feeling that are not conductive to eating. (B) Such a diet is less irritating to the damaged mucosa and is easier for the child to tolerate. (C) This intervention is helpful if the child has only anorexia. It does not work if the type and texture of the food increase oral discomfort. (D) Lemon glycerin swabs and milk of magnesia dry the oral mucosa and should be avoided.
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