Which action by a nursing assistant (NA) when caring for a patient who has pancytopenia indicates a need for the nurse to intervene?
A. The NA adds baking soda to the patient's saline oral rinses
B. The NA makes an oral rinse using 1 teaspoon of salt in a liter of water
C. The NA puts fluoride toothpaste on the patient's toothbrush
D. The NA assists the patient to use dental floss after eating
Correct Answer: D. The NA assists the patient to use dental floss after eating
Option D: The use of dental floss is avoided in patients with pancytopenia because of the risk for infection and bleeding.
Options A, B, and C: The other actions are appropriate for oral care of a patient with pancytopenia.
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