Nursing Interventions
Nursing Interventions ( 4 Questions)
A nurse is providing supportive care to a patient who has lymphoma and is receiving chemotherapy that causes mucositis. The nurse should implement which of the following interventions to help the patient with mucositis?
Encouraging oral hygiene with a soft toothbrush or sponge and a mild mouthwash or saline solution can help prevent or reduce mucositis by keeping the mouth clean and moist. Oral hygiene can also prevent bacterial growth and infection in the mouth. The nurse should instruct the patient to avoid alcoholbased mouthwashes, as they can irritate the mucous membranes³.
Administering topical anesthetics or analgesics as prescribed can help relieve pain and discomfort caused by mucositis. Topical agents can numb the mouth and throat and allow the patient to eat and drink more comfortably. Systemic analgesics may also be needed for severe pain. The nurse should assess the patient's pain level and administer pain relief as ordered³.
Offering soft, bland, moist foods and fluids at room temperature or cooler can help the patient with mucositis by avoiding further irritation of the mucous membranes. Soft foods are easier to swallow and less likely to cause bleeding or damage to the ulcers. Bland foods are less likely to cause a burning sensation or inflammation. Moist foods and fluids can keep the mouth hydrated and prevent dryness. Room temperature or cooler foods and fluids can soothe the mouth and throat and reduce swelling³.
These are all interventions that can help the patient with mucositis, which is inflammation and ulceration of the mucous membranes in the mouth and throat. Mucositis can occur as a side effect of chemotherapy or radiotherapy that affects the rapidly dividing cells in the oral cavity. Mucositis can cause pain, difficulty swallowing, increased risk of infection, and reduced quality of life³.
Choice D reason:
These are all interventions that can help the patient with mucositis, which is inflammation and ulceration of the mucous membranes in the mouth and throat. Mucositis can occur as a side effect of chemotherapy or radiotherapy that affects the rapidly dividing cells in the oral cavity. Mucositis can cause pain, difficulty swallowing, increased risk of infection, and reduced quality of life³.
Choice A reason:
Encouraging oral hygiene with a soft toothbrush or sponge and a mild mouthwash or saline solution can help prevent or reduce mucositis by keeping the mouth clean and moist. Oral hygiene can also prevent bacterial growth and infection in the mouth. The nurse should instruct the patient to avoid alcoholbased mouthwashes, as they can irritate the mucous membranes³.
Choice B reason:
Administering topical anesthetics or analgesics as prescribed can help relieve pain and discomfort caused by mucositis. Topical agents can numb the mouth and throat and allow the patient to eat and drink more comfortably. Systemic analgesics may also be needed for severe pain. The nurse should assess the patient's pain level and administer pain relief as ordered³.
Choice C reason:
Offering soft, bland, moist foods and fluids at room temperature or cooler can help the patient with mucositis by avoiding further irritation of the mucous membranes. Soft foods are easier to swallow and less likely to cause bleeding or damage to the ulcers. Bland foods are less likely to cause a burning sensation or inflammation. Moist foods and fluids can keep the mouth hydrated and prevent dryness. Room temperature or cooler foods and fluids can soothe the mouth and throat and reduce swelling³.
