You are the RN giving discharge instructions to your client who has metastatic lung cancer and mucositis. You know the client understands the instructions when she says:
1. "I will use half-strength normal saline rinses at least three times per day until my mouth sores heal.".
2. "I will swab my mouth with mouthwash every 4 hours to reduce the sores.".
3. "I will refrain from brushing and flossing my teeth until the sores heal.".
4. "I will rinse my mouth with full-strength peroxide every hour until the sores heal.".
"I will use half-strength normal saline rinses at least three times per day until my mouth sores heal.".
Rationale: It is beneficial to rinse with half-strength normal saline because it has a cleansing effect, while not irritating the sores. It would irritate the mouth sores to swab over them, especially if the swab contained an irritating solution. Refraining from brushing and flossing the teeth would increase the chance of infection and tooth decay. Full-strength peroxide would be irritating to the sores and painful for the client.
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