NCLEX-PN® ExaminationBasic Care and ComfortMedium
An LPN is caring for a client who is NPO (nil per os) and has dry, cracked lips. Which intervention is most appropriate for the LPN to implement?
- AOffer sips of water every hour.
- BProvide ice chips frequently.
- CEncourage the client to rinse their mouth with mouthwash.
- DApply a water-soluble lubricant to the lips.
Show answer & explanationAnswer & explanation
Correct answer: D. Apply a water-soluble lubricant to the lips.
For an NPO client with dry, cracked lips, applying a water-soluble lubricant provides comfort and prevents further cracking without violating the NPO status. Offering sips of water or ice chips would break NPO status.
Why the other options are wrong
- A. Offering sips of water violates NPO status.
- B. Providing ice chips violates NPO status as they melt into water.
- C. Mouthwash may contain alcohol, which can further dry the lips, and rinsing could lead to accidental ingestion.
NPO Oral Care
Providing oral hygiene for clients who are NPO (nothing by mouth) requires careful attention to comfort and avoiding ingestion of fluids or solids.
- Maintain NPO status strictly.
- Lubricants are safe for dry lips.
- Frequent mouth care prevents discomfort and infection.
Memory trick: No Nectar, Just Nurture.