The client is receiving chemotherapy. During a meal, the client complains of a metallic taste. Which of the following nursing interventions would be appropriate for this client? (Select all that apply.)
1. Avoid alcohol-based mouthwash
2. Use plastic silverware
3. Provide frequent oral care
4. Provide deli meats as protein source
5. Avoid orange juice
2, 3, 4
Rationale: Mouthwash should not be provided for the client with poor saliva production. However, mouthwash can be utilized with this client during their oral care. Metallic eating utensils should be avoided. Plastic utensils are preferred. They should be provided with frequent oral care. The client who complains of a metallic taste in their mouth can be assisted by providing cold proteins (deli meats, canned meats) to meet protein needs. Clients should be provided with salt and sugar with their meals to allow them to attempt to alter the taste of their food. The client should be encouraged to increase their fluid intake. Citrus juices should not be provided for clients with mouth sores. Citrus juices can be provided to the client who complains of a metallic taste in their mouth.
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