The nurse is caring for a client on the oncology unit who has developed stomatitis during chemotherapy. The nurse would plan which of the following measures to treat this complication?
1. Rinse the mouth with diluted baking soda or saline.
2. Use lemon and glycerin swabs liberally on painful oral lesions.
3. Place the client on NPO status for 12 hours, then resume liquids.
4. Brush the teeth and use nonwaxed dental floss at least twice a day.
1
Rationale: Stomatitis, or mouth ulcerations, occurs with the administration of many antineoplastic medications. The client's mouth should be examined daily for signs of ulceration. If stomatitis occurs, the client should be instructed to rinse the mouth with baking soda or saline. Food and fluids are important and should not be restricted. If chewing and swallowing are painful, the client may switch to a liquid diet. Instruct the client to avoid spicy foods and foods with hard crusts or edges. The client should avoid tooth brushing and flossing when stomatitis is severe. Lemon and glycerin swabs may cause pain and further irritation.
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