Podcast
Questions and Answers
What does the development of pus in or around a cold sore lesion typically indicate?
What does the development of pus in or around a cold sore lesion typically indicate?
- The lesion is reacting positively to drying agents.
- A secondary bacterial infection may be present, requiring medical attention. (correct)
- The lesion is becoming less contagious.
- The lesion is healing normally and the pus is a byproduct of the healing process.
Why should caution be exercised when administering 2% viscous lidocaine for oral inflammation?
Why should caution be exercised when administering 2% viscous lidocaine for oral inflammation?
- It can anesthetize the entire mouth and throat, potentially leading to accidental burns or injuries. (correct)
- It may cause hypertension in patients with pre-existing heart conditions.
- It interacts negatively with common antibiotics.
- It can cause localized allergic reactions in the oral cavity.
For which patient group is Palifermin (Kepivance) specifically approved?
For which patient group is Palifermin (Kepivance) specifically approved?
- Patients with canker sores.
- Leukemia or lymphoma patients undergoing chemotherapy before bone marrow transplantation. (correct)
- Patients with thrush.
- Patients with cold sores.
Why is candidiasis often referred to as the 'disease of the diseased'?
Why is candidiasis often referred to as the 'disease of the diseased'?
A patient undergoing chemotherapy develops severe mucositis. Which medication is most appropriate to prevent further complications?
A patient undergoing chemotherapy develops severe mucositis. Which medication is most appropriate to prevent further complications?
Following the rupture of fluid-filled vesicles in a cold sore, what subsequent development indicates the lesion is progressing through its typical healing stages?
Following the rupture of fluid-filled vesicles in a cold sore, what subsequent development indicates the lesion is progressing through its typical healing stages?
A patient complains of significant oral pain due to inflammation of the mucous membranes. Besides prescribing 2% viscous lidocaine, what crucial information should be conveyed to prevent potential harm?
A patient complains of significant oral pain due to inflammation of the mucous membranes. Besides prescribing 2% viscous lidocaine, what crucial information should be conveyed to prevent potential harm?
A patient presents with signs of Aspergillosis. What is the most likely source of this infection?
A patient presents with signs of Aspergillosis. What is the most likely source of this infection?
Which of the following infections, while similar in occurrence to candidiasis among debilitated patients, is less prevalent?
Which of the following infections, while similar in occurrence to candidiasis among debilitated patients, is less prevalent?
A patient develops a zoonotic infection after consuming contaminated food. Which of the following diseases is most likely the cause?
A patient develops a zoonotic infection after consuming contaminated food. Which of the following diseases is most likely the cause?
What is the primary etiological factor in the development of most tooth, gum, and periodontal diseases?
What is the primary etiological factor in the development of most tooth, gum, and periodontal diseases?
A patient is prescribed viscous lidocaine (Xylocaine) for mucositis. Which instruction is most crucial for the nurse to emphasize to prevent potential complications?
A patient is prescribed viscous lidocaine (Xylocaine) for mucositis. Which instruction is most crucial for the nurse to emphasize to prevent potential complications?
A patient using topical amlexanox paste 5% (Zilactin) for oral lesions states, 'I will apply this medicine before meals.' Which nursing intervention is most appropriate in response to this statement?
A patient using topical amlexanox paste 5% (Zilactin) for oral lesions states, 'I will apply this medicine before meals.' Which nursing intervention is most appropriate in response to this statement?
A patient using carbamide peroxide (Gly-Oxide) for canker sores reports tissue irritation and a black hairy tongue. Besides discontinuing the medication, what should the nurse recommend to soothe the pain?
A patient using carbamide peroxide (Gly-Oxide) for canker sores reports tissue irritation and a black hairy tongue. Besides discontinuing the medication, what should the nurse recommend to soothe the pain?
What is the initial source from which dental plaque is primarily derived?
What is the initial source from which dental plaque is primarily derived?
A patient presents with symptoms suggestive of brucellosis but denies consuming unpasteurized dairy products. Which alternative route of transmission should the nurse explore?
A patient presents with symptoms suggestive of brucellosis but denies consuming unpasteurized dairy products. Which alternative route of transmission should the nurse explore?
A patient using a corticosteroid inhaler is at risk for which adverse effect?
A patient using a corticosteroid inhaler is at risk for which adverse effect?
White, milk curd-appearing plaques attached to the oral mucosa are characteristic of which condition?
White, milk curd-appearing plaques attached to the oral mucosa are characteristic of which condition?
Which of the following is the primary pharmacologic treatment for Candida albicans infections?
Which of the following is the primary pharmacologic treatment for Candida albicans infections?
Saliva substitutes are most likely prescribed to manage which of the following conditions?
Saliva substitutes are most likely prescribed to manage which of the following conditions?
Which instruction is most important for the nurse to include when educating a patient about managing cold sores?
Which instruction is most important for the nurse to include when educating a patient about managing cold sores?
A patient reports using an over-the-counter mouthwash several times a day and is now experiencing increased oral irritation. Which ingredient in the mouthwash is MOST likely responsible for this adverse effect?
A patient reports using an over-the-counter mouthwash several times a day and is now experiencing increased oral irritation. Which ingredient in the mouthwash is MOST likely responsible for this adverse effect?
A patient receiving chemotherapy is experiencing severe mucositis. Which intervention is most appropriate to recommend for pain management?
A patient receiving chemotherapy is experiencing severe mucositis. Which intervention is most appropriate to recommend for pain management?
A patient with a history of heavy smoking and alcohol use presents with a persistent, non-healing ulcer on the floor of their mouth. Which of the following actions is MOST important for the healthcare provider?
A patient with a history of heavy smoking and alcohol use presents with a persistent, non-healing ulcer on the floor of their mouth. Which of the following actions is MOST important for the healthcare provider?
A patient undergoing chemotherapy develops mucositis. Which intervention should be prioritized before applying topical carbamide peroxide?
A patient undergoing chemotherapy develops mucositis. Which intervention should be prioritized before applying topical carbamide peroxide?
A chemotherapy patient reports a pain level of '8' due to severe mucositis. Which nursing problem takes priority?
A chemotherapy patient reports a pain level of '8' due to severe mucositis. Which nursing problem takes priority?
A nurse is educating a patient starting chemotherapy. Which dietary instruction is most appropriate for preventing complications associated with oral mucositis?
A nurse is educating a patient starting chemotherapy. Which dietary instruction is most appropriate for preventing complications associated with oral mucositis?
A patient with mucositis is prescribed nystatin liquid. What instruction regarding its administration is most important for the nurse to emphasize?
A patient with mucositis is prescribed nystatin liquid. What instruction regarding its administration is most important for the nurse to emphasize?
A patient with oral mucositis is prescribed a topical pain medication. What direction should the nurse give to the patient regarding its use?
A patient with oral mucositis is prescribed a topical pain medication. What direction should the nurse give to the patient regarding its use?
Why are OTC mouthwashes generally discouraged in patients undergoing chemotherapy?
Why are OTC mouthwashes generally discouraged in patients undergoing chemotherapy?
Which strategy is most useful for determining the effectiveness of interventions aimed at managing the pain associated with oral mucositis?
Which strategy is most useful for determining the effectiveness of interventions aimed at managing the pain associated with oral mucositis?
A patient with mucositis is using Milk of Magnesia as part of their treatment plan. What is the primary purpose of this intervention?
A patient with mucositis is using Milk of Magnesia as part of their treatment plan. What is the primary purpose of this intervention?
A client has a cold sore. Which instructions are appropriate for the nurse to provide regarding care? (Select all that apply)
A client has a cold sore. Which instructions are appropriate for the nurse to provide regarding care? (Select all that apply)
Which assessment findings are most pertinent when evaluating a client's oral health? (Select all that apply.)
Which assessment findings are most pertinent when evaluating a client's oral health? (Select all that apply.)
Which treatment options may promote comfort for a client experiencing severe mucositis following a bone marrow transplant? (Select all that apply.)
Which treatment options may promote comfort for a client experiencing severe mucositis following a bone marrow transplant? (Select all that apply.)
What are the adverse effects of xerostomia? (Select all that apply.)
What are the adverse effects of xerostomia? (Select all that apply.)
A nurse is caring for several clients. Which client is at highest risk for developing oral cancer?
A nurse is caring for several clients. Which client is at highest risk for developing oral cancer?
A client reports experiencing frequent heartburn. Which statement by the client indicates a need for further teaching regarding the management of gastroesophageal reflux disease (GERD)?
A client reports experiencing frequent heartburn. Which statement by the client indicates a need for further teaching regarding the management of gastroesophageal reflux disease (GERD)?
A patient is diagnosed with stomatitis related to chemotherapy. Which intervention is most appropriate for the nurse to include in the plan of care?
A patient is diagnosed with stomatitis related to chemotherapy. Which intervention is most appropriate for the nurse to include in the plan of care?
A nurse is educating a client about reducing the risk of developing oral health problems. Which recommendations should the nurse include? (Select all that apply)
A nurse is educating a client about reducing the risk of developing oral health problems. Which recommendations should the nurse include? (Select all that apply)
Flashcards
Corticosteroid Inhaler: Candidiasis
Corticosteroid Inhaler: Candidiasis
An adverse effect of corticosteroid inhalers where a fungal infection develops in the mouth.
Thrush
Thrush
A fungal infection characterized by white, milk curd-like plaques on the oral mucosa.
Candida albicans Risk Factors
Candida albicans Risk Factors
Medications that suppress the immune system or cause dry mouth can cause this infection.
Antifungal Agents
Antifungal Agents
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Xerostomia
Xerostomia
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Saliva Substitutes
Saliva Substitutes
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Cold Sores
Cold Sores
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Mucositis
Mucositis
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Saline Rinses
Saline Rinses
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Mucositis Pain Priority
Mucositis Pain Priority
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Mucositis: Avoid These Foods
Mucositis: Avoid These Foods
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Mucositis: Milk of Magnesia
Mucositis: Milk of Magnesia
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Mucositis: Nystatin liquid
Mucositis: Nystatin liquid
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Topical Mucositis Meds
Topical Mucositis Meds
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OTC Mouthwashes
OTC Mouthwashes
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Mucositis: Oral Cavity
Mucositis: Oral Cavity
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Brucellosis
Brucellosis
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Plaque
Plaque
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Plaque Definition
Plaque Definition
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Viscous Lidocaine Instruction
Viscous Lidocaine Instruction
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Amlexanox Paste 5% Application
Amlexanox Paste 5% Application
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Amlexanox Paste 5% Actions
Amlexanox Paste 5% Actions
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Optimal Timing for Amlexanox Paste
Optimal Timing for Amlexanox Paste
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Cold Sore Contagion
Cold Sore Contagion
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Oral Inflammation Anesthetic
Oral Inflammation Anesthetic
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Mucositis Prevention
Mucositis Prevention
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Candidiasis
Candidiasis
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Cold sore development
Cold sore development
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Candidiasis cause
Candidiasis cause
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Palifermin
Palifermin
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2% viscous lidocaine
2% viscous lidocaine
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Cold Sore Care: Moisture
Cold Sore Care: Moisture
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Cold Sore Infection Signs
Cold Sore Infection Signs
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Cold Sore Pain Relief
Cold Sore Pain Relief
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Oral Health Assessment: Key History
Oral Health Assessment: Key History
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Halitosis Importance
Halitosis Importance
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Saliva Amount Significance
Saliva Amount Significance
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Viscous Lidocaine (2%) Use
Viscous Lidocaine (2%) Use
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Milk of Magnesia Mouth Rinses
Milk of Magnesia Mouth Rinses
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Study Notes
- Medications like immunosuppressants, corticosteroids, cytotoxics, and broad spectrum antibiotics can lead to candidiasis by suppressing the immune system.
- Proper oral hygiene during inhalation dosage regimens can help prevent candidiasis.
- Mucositis, plaque, and xerostomia aren't typically linked to steroid inhaler usage.
Oral Mucosa Issues and Treatments
- Thrush presents as white, milk curd-like plaques attached to the oral mucosa.
- Canker sores are ulcers 0.5 to 2 cm in diameter that appear on surfaces not attached to bone.
- Cold sores, or fever blisters, usually form at the junction of mucous membranes and skin around the lips or nostrils.
- Mucositis is a broad term for painful inflammation of the oral mucous membranes.
Candida Albicans and Antifungal Therapy
- Candida albicans is a common oral infection, especially in debilitated patients.
- Conditions depressing the immune system or causing xerostomia increase the risk.
- Antifungal agents (e.g., nystatin) are the primary treatment for C. albicans.
- Steroids, topical anesthetics, and anti-inflammatory agents aren't used to treat C. albicans.
Xerostomia and Saliva Substitutes
- Xerostomia, or dry mouth, stems from non-oral causes.
- Treatment includes discontinuing medications causing dry membranes or using artificial saliva products.
- Dentifrices treat caries, while mouthwash addresses halitosis alongside dentifrices.
Cold Sore Management
- Cold sore lesions start as small red papules, then become fluid-filled blisters of 1-3 mm. As vesicles burst a crust develops.
- The fluid in these vesicles harbors live virus, making direct contact contagious.
- Pus in vesicles or under the cold sore crust indicates a secondary bacterial infection.
- Drying agents are not suitable for cold sores, which are contagious, not tied to personal hygiene.
Oral Mucous Membrane Inflammation and Local Anesthetics
- Viscous lidocaine 2% is a topical anesthetic for oral inflammation-related pain.
- Caution is needed to avoid burns due to the drug anesthetizing the mouth and throat.
- Chlorhexidine, nystatin, and hydrogen peroxide are not local anesthetics.
Mucositis Prevention and Treatment
- Palifermin is a recombinant keratinocyte growth factor used to prevent and treat mucositis in leukemia or lymphoma patients undergoing chemotherapy before bone marrow transplantation.
- Amlexanox paste is used for canker sores, docosanol for cold sores, and nystatin for thrush.
Candidiasis
- Candidiasis, caused by C. albicans, is often called the "disease of the diseased" because it appears in debilitated patients.
- Aspergillosis is caused by Aspergillus, found on decaying vegetation.
- Trichomoniasis is a sexually transmitted parasitic disease.
- Brucellosis is a zoonotic infection from animals to humans via contaminated food, direct contact, or aerosol inhalation.
Plaque
- Plaque, linked to tooth, gum, and periodontal disease, originates from saliva that is a sticky substance forming on teeth trapping bacteria.
- If not removed, plaque thickens, and bacteria multiply.
- Sugar leads to oral health issues when poor hygiene allows it to collect.
- Halitosis indicates poor oral hygiene but doesn't cause dental disease.
- Smoking contributes to periodontal disease through vasoconstriction, not dental disease itself.
Viscous Lidocaine Use
- When using viscous lidocaine (Xylocaine) for mucositis it is most important to counsel patients to avoid eating or drinking for 30 minutes after administration due to risk of aspiration from diminished gag reflex.
Amlexanox Paste 5% (Zilactin) Use
- When applying amlexanox paste 5% (Zilactin), it is best to apply after meals.
- Comfort is controlled with this medication; it is applied to each lesion and promotes healing.
Canker Sore Treatment
- Saline rinses may soothe tissue irritation from carbamide peroxide (Gly-Oxide) used for multiple canker sores, and can be used before topical application.
- Milk of Magnesia, viscous lidocaine 2%, and Salivart are not used to soothe this side effect.
Severe Mucositis and Nursing Priorities
- When assisting with the care of a patient on chemotherapy reporting severe mucositis, a pain level of "8" indicates pain is the priority nursing concern.
- Addressing pain and comfort is paramount.
Oral Mucositis Prevention
- To manage oral mucositis from chemotherapy, avoid acidic/spicy foods, use Milk of Magnesia to coat mucous membranes, use Nystatin liquid to combat fungal infections and cleanse the mouth before applying topical agents.
Cold Sores in Children
- Instruct children to keep cold sores clean with mild soap, keep them moist to prevent cracking, monitor for infection signs and consider pain relief options.
Oral Health Assessment
- Oral health assessment should include medication history, dental visit frequency, presence of halitosis, and amount of saliva present.
Mucositis Treatment
- Options that may promote comfort for patients with severe mucositis that developed while undergoing bone marrow transplantation are, 2% viscous lidocaine (Xylocaine) before meals and Milk of Magnesia mouth rinses.
Xerostomia
- The adverse effects of xerostomia are reduced taste and appetite, difficulty chewing and swallowing food, increase in dental caries, and difficulty with speech.
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Description
Questions cover complications like pus development in cold sores and risks of medications like viscous lidocaine. They address specific treatments for mucositis, especially in chemotherapy patients, and opportunistic infections, such as candidiasis and aspergillosis. Also covers healing stages of cold sores.