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    RN Comprehensive Predictor Proctored Exam (National U CA San Diego)

    A nurse is caring for a client who has AIDS. The client states, "My mouth is sore when I eat." Which of the following instructions should the nurse provide?

    Explanation & Rationale

    Rationale: A. "Add salt to season foods.": Adding salt can irritate oral mucosa, especially in clients with AIDS who often develop stomatitis or oral candidiasis. Salty foods worsen pain and delay healing of mucosal lesions, so mild, bland foods are preferred. B. "Eat foods served at hot temperatures.": Hot foods increase discomfort and can further damage already inflamed oral tissues. Clients should instead consume cool or room-temperature foods to soothe irritation and promote better oral intake. C. "Rinse your mouth with an alcohol-based mouthwash.": Alcohol-based mouthwashes dry and irritate the mucous membranes, worsening oral pain and increasing the risk of bleeding or infection. Nonalcoholic rinses, such as saline or baking soda solutions, are safer alternatives. D. "Use ice chips to numb your mouth.": Sucking on ice chips provides local numbing and temporary pain relief, allowing the client to eat and drink more comfortably. This simple intervention also helps keep the oral mucosa moist and reduces inflammation.

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