The nurse is caring for a client who is receiving radiation therapy for treatment of oral cancer. The client reports a constant dry mouth. Which is the nurse's best response?
a. "Massage the area just over the lower jaw twice a day."
b. "Use lemon and glycerin swabs to clean your mouth and help keep it moist."
c. "Suck on lemon slices to help increase saliva production."
d. "Rinse your mouth out often with warm saline or sodium bicarbonate solution."
D
Clients should avoid agents that can irritate the oral mucosa and should keep their mouth moist with frequent rinses of warm saline or sodium bicarbonate solution. Massage is recommended only for acute sialadenitis—inflammation of a salivary gland. Lemon slices and lemon and gly-cerin swabs are acidic and can further dry the mucosa, causing a burning sensation. The use of lemon slices after radiation therapy is discontinued may promote saliva production.
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