During an admission assessment, the nurse notes that the child has impaired oral mucous membranes. Nursing interventions aimed at resolving the problem would be
1. administering topical analgesics.
2. promoting an adequate intake ofnutrients.
3. administering antibiotics as ordered.
4. using lemon and glycerin for oralhygiene
Answer:2
Rationale: Adequate intake of fluids and nutrients promotes the intactness of the oral mucousal membrane tissue,which is the desired outcome for an impaired oral mucous membrane problem.Lemon and glycerin may dry the oral mucous membrane,which is not desirable. Administration of antibiotics or topical analgesics are medical interventions that might be performed but do not ensure that impaired tissue will be resolved.
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