For early mucositis, which home care step should the nurse instruct?

• A. Oral care protocol
• B. Avoid all oral hygiene
• C. Eat spicy foods
• D. Use lemon glycerin swabs

Answer: (A)

The main idea is to follow an oral care protocol to keep the mouth clean and protected as mucositis develops. Early mucositis means the mucous membranes are inflamed and delicate from chemotherapy, so gentle, consistent oral hygiene helps reduce bacterial load, prevent infection, and minimize trauma that can lead to ulcers. A practical home care approach includes brushing with a soft toothbrush after meals and before bed, using a mild rinse such as saline or a baking-soda solution, and avoiding mouthwashes that contain alcohol or other harsh ingredients. It also means avoiding irritants like spicy foods and acidic products; lemon glycerin swabs are drying and irritating and should be avoided. Keep lips moisturized and drink plenty of fluids to maintain moisture in the mouth. If mouth pain, ulcers, or signs of infection appear, contact the healthcare team promptly. This combination supports healing and reduces the risk of progression in early mucositis.