When caring for a patient who is pancytopenic, which action by unlicensed assistive personnel (UAP) indicates a need for the nurse to intervene?
a. The UAP assists the patient to use dental floss after eating.
b. The UAP adds baking soda to the patient's saline oral rinses.
c. The UAP puts fluoride toothpaste on the patient's toothbrush.
d. The UAP has the patient rinse after meals with a saline solution.
ANS: A
Use of dental floss is avoided in patients with pancytopenia because of the risk for infection and bleeding. The other actions are appropriate for oral care of a pancytopenic patient.
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