A patient receiving head and neck radiation and systemic chemotherapy has ulcerations over the oral mucosa and tongue and thick, ropey saliva. An appropriate intervention for the nurse to teach the patient is to
A. Rinse the mouth before and after each meal and at bedtime with a saline solution
B. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth
C. Gargle and rinse the mouth several times a day with an antiseptic mouthwash
D. Remove food debris from the teeth and oral mucosa with a stiff toothbrush
Correct Answer: A. Rinse the mouth before and after each meal and at bedtime with a saline solution
Option A: The patient should rinse the mouth with a saline solution frequently to decrease the pain and to cleanse the wounds.
Option B: Hydrogen peroxide may damage tissues.
Option C: Antiseptic mouthwashes may irritate the oral mucosa and are not recommended.
Option D: A soft toothbrush is used for oral care.
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