A patient receiving external radiation and chemotherapy for oropharyngeal carcinoma has a denuded and swollen oral mucosa.He has ulcerations over his bucca and tongue,and his saliva is thick and ropey.What is an appropriate intervention for the nurse to teach the patient?

Question

A patient receiving external radiation and chemotherapy for oropharyngeal carcinoma has a denuded and swollen oral mucosa.He has ulcerations over his bucca and tongue,and his saliva is thick and ropey.What is an appropriate intervention for the nurse to teach the patient?

Quizplus · Accepted Answer

Rinsing the mouth before and after meals and at bedtime with a solution of salt and sodium bicarbonate can help to cleanse the mouth and provide relief by reducing the acidity of the oral environment. This intervention can also be helpful in aiding in the removal of thick, ropey saliva. It is important to avoid using any commercial mouthwash or hydrogen peroxide, as these can further irritate the oral mucosa. Maintaining a liquid diet may be necessary, but this should be determined in consultation with the patient's healthcare provider.

A Patient Receiving External Radiation and Chemotherapy for Oropharyngeal Carcinoma