The home care nurse observes white patches on the oral mucosa of a client with severe, chronic airflow limitation. What is the nurse's best action?
a. Ask the client whether he or she uses a steroid inhaler.
b. Inquire about any recent viral illnesses.
c. Have the client rinse the mouth with salt water.
d. Have the client brush the patches with a soft-bristled brush.
A
Excessive use of steroid inhalers reduces local immune function and increases the client's risk for oral-pharyngeal infection, including candidiasis, which manifests as white patches on the oral mucosa. The client should not brush the lesions, and salt water will not help the sores. Recent illnesses would have no effect on these lesions.
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