A nurse is collecting data about a client’s oral care. The client wears dentures and reports having mouth sores.
The nurse should identify which of the following oral care practices by the client as a possible cause of the mouth sores?

This food has the highest vitamin C content among the four options, with about 80 to 100 mg of vitamin C per fruit.

Vitamin C is a water-soluble vitamin that acts as an antioxidant and helps with wound healing, immune function, collagen synthesis, and iron absorption.

Choice A is wrong because 1 medium fresh green pear has only about 4 to 5 mg of vitamin C per fruit.

Pears are a good source of fiber and potassium, but not vitamin

C. Choice B is wrong because 1 small apple with the skin has only about 8 to 9 mg of vitamin C per fruit.

Apples are a good source of fiber and flavonoids, but not vitamin

C. Choice C is wrong because 1 small banana has only about 10 to 11 mg of vitamin C per fruit.

Bananas are a good source of potassium, magnesium, and vitamin B6, but not vitamin

The correct answer is choice B: Explain to the client that they cannot leave until the surgeon discharges them.

Choice B rationale: The nurse should explain the importance of following the surgeon's orders and the potential consequences of leaving before being officially discharged. This approach provides patient education and promotes collaboration between the client and the health care team. It also ensures the client understands that leaving without proper discharge could lead to complications or inadequate recovery.

Choice A rationale: Threatening the client with restraints is not an appropriate action, as it may cause undue stress and escalate the situation. Restraints should only be used as a last resort in cases where the client poses an immediate risk of harm to themselves or others.

Choice C rationale: While having the client sign an against medical advice (AMA) form might be appropriate if the client insists on leaving, the nurse should first attempt to educate the client on the importance of following the surgeon's orders and collaborate with the client to resolve any concerns or issues leading to their desire to leave.

Choice D rationale: Administering a sedative medication is not an appropriate action in this situation. Sedation should only be used when medically necessary and not as a means to control a client's behavior or decisions.