Which instruction by the nurse is most important when educating a patient about using viscous lidocaine (Xylocaine) for mucositis?
a. "Cleanse the oral cavity after using."
b. "This medication can be used as a gargle."
c. "After using, wait for 30 minutes before eating."
d. "Your sense of taste will be diminished."
ANS: C
Caution the patient not to take food or drink for approximately 30 minutes after the medication because of the risk of aspiration from the absence of the gag reflex. The oral cavity is cleansed before administration. The medication can be used as a gargle and the sense of taste is diminished, but these are not the most important instructions.
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