Which instructions will the nurse include in the teaching plan of a patient who is prescribed fluphenazine (Prolixin) and has developed a thickly white-coated tongue? (Select all that apply.)
a. Avoid foods high in sugar.
b. Brush teeth and tongue frequently.
c. Continue taking your medication; the coating will subside in about 3 weeks.
d. Nasal inhalants should be avoided since they can interact with your medication and cause this problem.
e. Smoking cigarettes can make the white coating on your tongue worse and moredifficult to treat effectively.
A, B, E
Fluphenazine (Prolixin) may cause the side effect of infection, because this medication can reduce the normal bacteria in the patient's mouth and increase sensitivity to infection. A thick white coating on the tongue indicates infection and must be treated. Brushing the tongue and teeth is a good preventive measure. Smoking and a high sugar diet will exacerbate the problem. The measures the nurse is offering will prevent recurrence if paired with adequate hydration.
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