A nurse teaches a client who is being discharged after a fixed centric occlusion for a mandibular fracture. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. "You will need to cut the wires if you start vomiting."
b. "Eat six soft or liquid meals each day while recovering."
c. "Irrigate your mouth every 2 hours to prevent infection."
d. "Sleep in a semi-Fowler's position after the surgery."
e. "Gargle with mouthwash that contains Benadryl once a day."
ANS: A, B, C, D
The client needs to know how to cut the wires in case of emergency. If the client vomits, he or she may aspirate. The client should also be taught to eat soft or liquid meals multiple times a day, irrigate the mouth with a Waterpik to prevent infection, and sleep in a semi-Fowler's position to assist in avoiding aspiration. Mouthwash with Benadryl is used for clients who have mouth pain after radiation treatment; it is not used to treat pain in a client with a mandibular fracture.
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