chapt 45 Nursing Management of the Patient with Disorders of the Oral Cavity (Oral Cancer)

Question 1

If a patient cannot tolerate brushing or flossing what can the nurse do?

Answer 1

Have the patient rinse or irrigate with a solution of 1/2 to 1 teaspoon of baking soda (or 1/4) teaspoon salt in 8 oz of warm water

Question 2

What can be done to prevent Xerostomia (dryness of the mouth)

Answer 2

avoid dry, bulky, and irritating foods and fluids, as well as alcohol and tobacco. Increase intake of fluids and use a humidifier while sleeping. The use of synthetic saliva, chewing gum or a saliva production stimulant such as pilocarpine may be helpful

Question 3

Mouth care for stomatitis (inflammation and breakdown of the oral mucosa)

Answer 3

use magic mouth wash or BMX a solution that contains equal parts of diphenhydramine, Maalox, and Xylocaine to both numb and protect the mouth.

Question 4

What can the nurse do to promote oral care for patients with oral cancer?

Answer 4

refrain from smoking and alcohol
control diabetes
regular dental care
fluoride application
fluorinated water

Question 5

How does the nurse ensure adequate food and fluid intake in patients with oral cancer

Answer 5

1. Daily calorie count may be necessary to determine the exact quantity of food and fluid ingested.
2. Frequency of pattern and eating are recorded; Based on the disorder and pt preference the nurse recommends changes in the consistency of foods and the frequency of eating.
3. Nutritional counseling may be indicated

Question 6

Minimizing pain and discomfort (oral cancer)

Answer 6

avoid foods that are spicy, hot or hard. A soft or liquid diet may be preferred. The use of a soft toothbrush may prevent secondary trauma. Analgesic agents such as lidocaine or opioids may be prescribed.