Which of the following measures is contra-indicated when the nurse assists a child who has leukemia with oral hygiene?
1. Applying petroleum jelly to the lips.
2. Cleaning the teeth with a toothbrush.
3. Swabbing the mouth with moistened cotton swabs.
4. Rinsing the mouth with a nonirritating mouthwash.
The oral mucous membranes are easily damaged and are commonly ulcerated in the client with leukemia.
It is better to provide oral hygiene without using a toothbrush, which can easily damage sensitive oral mucosa.
Applying petroleum jelly to the lips, swabbing the mouth with moistened cotton swabs, and rinsing the mouth with a nonirritating mouthwash are appropriate oral care measures for a child with leukemia.
CN: Basic care and comfort; CL: Synthesize