The nurse is caring for a patient experiencing dysphagia and weight loss due to oral mucositis. Which of the following should be the nurse's highest priority?
A) Instruct the patient to use hydrogen-peroxide-based mouthwash three times daily.
B) Provide Xylocaine (viscous lidocaine) topically prior to meals.
C) Encourage normal saline rinses each morning.
D) Order a puree diet.

Question

Quizplus · Accepted Answer

Providing Xylocaine (viscous lidocaine) topically prior to meals can help relieve pain and discomfort associated with oral mucositis, allowing the patient to eat and maintain their nutritional status. The other options do not directly address the patient's dysphagia and weight loss. Using hydrogen-peroxide-based mouthwash can further irritate the oral mucosa and is not recommended. Normal saline rinses can be helpful for oral hygiene but may not provide significant relief for dysphagia. Ordering a puree diet may be necessary but should not be the first priority as it does not address the underlying issue of oral mucositis.

The Nurse Is Caring for a Patient Experiencing Dysphagia and Weight