A student nurse is providing care to an older client with stomatitis and dysphagia. What action by the student nurse requires the registered nurse to intervene?
a. Assisting the client to perform oral care every 2 hours
b. Preparing to administer a viscous lidocaine gargle
c. Reminding the client not to swallow nystatin (Mycostatin)
d. Teaching the client to use a soft-bristled toothbrush
ANS: B
Viscous lidocaine gargles or mouthwashes are sometimes prescribed for clients with stomatitis and pain. However, the numbing effect can lead to choking or mouth burns from hot food. This client already has difficulty swallowing, so this medication is not appropriate. Therefore, the nurse should intervene when the student prepares to administer this preparation. The other options are correct actions.
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