The client receives cyclophosphamide (Cytoxan) as treatment for cancer and is experiencing oral irritation as an adverse effect. What does the best plan by the nurse include as it relates to providing oral comfort?
1. Teach the client to avoid extreme temperatures of food selections.
2. Teach good oral hygiene, including the use of an antiseptic mouthwash.
3. Administer megestrol (Megace ES) to the client.
4. Teach the client to inspect the mouth weekly.
1
Rationale 1: Avoiding extreme temperatures of foods will help prevent further trauma and discomfort to the mouth.
Rationale 2: Most mouthwashes contain alcohol, which will make the problem worse.
Rationale 3: Megestrol (Megace ES) can be effective for appetite stimulation in cancer clients but will not help oral irritation.
Rationale 4: The client should inspect the mouth at least once daily.
Global Rationale: Avoiding extreme temperatures of foods will help prevent further trauma and discomfort to the mouth. Most mouthwashes contain alcohol, which will make the problem worse. Megestrol (Megace ES) can be effective for appetite stimulation in cancer clients but will not help oral irritation. The client should inspect the mouth at least once daily.
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