During an admission assessment, the nurse notes that the child has impaired oral mucous mem-branes. A nursing intervention aimed at resolving the problem would be:
1. Administering topical analgesics.
2. Promoting an adequate intake of nutrients.
3. Administering antibiotics as ordered.
4. Using lemon and glycerin for oral hygiene.
2
Rationale:
1. Administration of topical analgesics is a medical intervention that might be performed but does not ensure that impaired tissue will be resolved.
2. Adequate intake of fluids and nutrients promotes the intactness of the oral mucous membrane tissue, which is the desired outcome for an impaired oral mucous membrane problem.
3. Administration of antibiotics is a medical intervention that might be performed but does not ensure that impaired tissue will be resolved.
4. Lemon and glycerin can dry the oral mucous membrane, which is not desirable.
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