When teaching a patient with fungal stomatitis about performing oral care, the nurse would include which instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Avoid tobacco and alcohol.
2. Use saline or sodium bicarbonate rinse after every meal.
3. Drink at least 8 ounces of orange juice daily.
4. Avoid cold beverages.
5. Oral care should be performed with a soft toothbrush.
1,2,5
Rationale 1: The patient with fungal stomatitis should avoid tobacco and alcohol as they damage the oral mucosa and increase the risk for oral mucositis.
Rationale 2: Saline or sodium bicarbonate rinses are buffering agents that are gentler on the mucosa than drying alcohol-based preparations or lemon glycerin swabs.
Rationale 3: Orange juice may be irritating to the damaged oral mucosa and should be avoided.
Rationale 4: Cold drinks generally are more soothing than hot drinks, which should be avoided.
Rationale 5: A soft toothbrush should be used to clean the teeth at least twice daily.
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