The nurse visits a patient who was discharged after receiving chemotherapy for the treatment of colon cancer. Upon assessment, the nurse found that the patient developed stomatitis. Which of the following should the nurse remind the patient to avoid?


• Stomatitis refers to the inflammation and ulceration of the mucosa of the mouth. 

• Stomatitis is a common side effect of chemotherapy, and may progress to painful ulcers and infection that can interfere with eating, talking, taste, chewing, and swallowing. It is self-limiting and the goal of care is to decrease the severity and duration of the stomatitis and to provide relief of discomfort as well as prevent or treat infection. Frequent dental care to prevent caries and infection and meticulous care of dentures after eating are recommended.

• The patient should also avoid using over-the-counter mouthwashes containing alcohol.

• The patient should also avoid foods and beverages that are hot, spicy, citrus-based/acidic or hard.

• The patient should avoid harsh toothbrushing and may not be able to tolerate a foam swab.  

• Symptoms are controlled with routine oral care which may include a weak solution of salt and baking soda in water as well as topical analgesics. 

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