A patient is experiencing mucositis as a result of radiation therapy. Which of the following interventions would the nurse include in the plan of care? (Select all that apply.)
a. Encourage citrus juice for vitamin C supplementation.
b. Advise the patient to use a neutral mouthwash such as diphenhydramine (Benadryl) and water.
c. Discourage use of alcohol and tobacco.
d. Advise the patient to avoid very cold foods and drinks.
e. Heat all liquids before drinking to promote oral blood flow.
f. Provide oral care once daily.
ANS: B, C, D
Mucositis is inflammation of the mucous membranes, especially of the mouth and throat. Smoking, alcohol, acidic foods or drinks, extremely hot or cold foods and drinks, and commercial mouthwash can irritate inflamed mucous membranes. The use of a neutral mouthwash is appropriate. Frequent mouth care is important to reduce the risk of infection.
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