A nurse cares for a client after radiation therapy for lung cancer. The client reports a sore throat. Which action should the nurse take first?
a. Ask the client to gargle with mouthwash containing lidocaine.
b. Administer prescribed intravenous pain medications.
c. Explain that soreness is normal and will improve in a couple days.
d. Assess the client's neck for redness and swelling.
ANS: A
Mouthwashes and throat sprays containing a local anesthetic agent such as lidocaine or diphenhydramine can provide relief from a sore throat after radiation therapy. Intravenous pain medications may be used if local anesthetics are unsuccessful. The nurse should explain to the client that this is normal and assess the client's neck, but these options do not decrease the client's discomfort.
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