What is appropriate mouth care for a toddler with mucosal ulceration related to chemotherapy?
a. Mouthwashes with plain saline
b. Lemon glycerin swabs for cleansing
c. Mouthwashes with hydrogen peroxide
d. Swish and swallow with viscous lidocaine
ANS: A
Administering mouth care is particularly difficult in infants and toddlers. A satisfactory method of cleaning the gums is to wrap a piece of gauze around a finger; soak it in saline or plain water; and swab the gums, palate, and inner cheek surfaces with the finger. Mouth rinses are best accomplished with plain water or saline because the child cannot gargle or spit out excess fluid. Avoid agents such as lemon glycerin swabs and hydrogen peroxide because of the drying effects on the mucosa. Lidocaine should be avoided in young children.
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