A young child with leukemia has anorexia and severe stomatitis. What approach should the nurse suggest that the parents try?

A young child with leukemia has anorexia and severe stomatitis. What approach should the nurse suggest that the parents try?

a.
Relax any eating pressures.
b.
Firmly insist that the child eat normally.
c.
Serve foods that are either hot or cold.
d.
Provide only liquids because chewing is painful.

ANS: A

A multifaceted approach is necessary for children with severe stomatitis and anorexia. First, the parents should relax eating pressures. The nurse should suggest that the parents try soft, bland foods; normal saline or bicarbonate mouthwashes; and local anesthetics. Insisting that the child eat normally is not suggested. For some children, not eating may be a way to maintain some control. This can set the child and caregiver in opposition to each other. Hot and cold foods can be painful on ulcerated mucosal membranes. Substitution of high-calorie foods that the child likes and can eat should be used.