The nurse is completing education for a patient who will be undergoing chemotherapy next week
In anticipation of adverse effects associated with oral mucositis resulting from chemotherapy, which information will the nurse include in the teaching plan? (Select all that apply.)
a. Avoid acidic and spicy foods.
b. Using docosanol (Abreva) will decrease the pain.
c. Milk of Magnesia can be used to rinse the mouth and coat mucous membranes.
d. Nystatin liquid can be taken orally to eliminate fungal infections.
e. Cleanse the oral cavity before applying topical agents.
f. Rinse the mouth with an over-the-counter (OTC) mouthwash.
ANS: A, C, D, E
Spicy and acidic foods should be avoided to prevent irritation to mucous membranes. Viscous lidocaine 2%, Milk of Magnesia, diluted bismuth subsalicylate (Kaopectate), and sucralfate suspensions may be used for topical application. Oral candidal infections are often adverse effects of chemotherapy, and nystatin liquid, an antifungal agent, may be prescribed. Directions for using this agent include swishing the medication in the oral cavity for approximately 1 minute before swallowing or sucking on lozenges (troches) to reduce candidal oral infections. Pain medication applied topically must come into contact with mucous membranes to be effective. Therefore, it is advisable to clean the oral cavity before application. This medication is not used in the treatment of oral mucositis. OTC mouthwashes are usually not recommended for treatment of mucositis.
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