Page 1349 - Saunders Comprehensive Review For NCLEX-RN

ulcers, rinse the mouth after meals,
and carry out good oral hygiene.
c. Instruct the client to use mouth rinses as
prescribed for mouth sores if
necessary.
d. Instruct the client in the use of
antifungal agents for mouth sores, if
prescribed, for the development of a
fungal infection.
e. Instruct the client to avoid crowds and
persons with infections and to report
signs of infection such as a low-grade
fever, chills, or sore throat.
f. Instruct individuals with colds or
infections to wear a mask when
visiting or to avoid visiting the client.
g. Instruct the client to use a soft
toothbrush and electric razor to
minimize the risk of bleeding.
h. Instruct the client to avoid aspirin-
containing products to minimize the
risk of bleeding.
i. Instruct the client to consult the PHCP
before receiving vaccinations (live
vaccines should not be administered).
D. Anaphylactic reactions
1. Precautions
a. Obtain an allergy history.
b. Administer a test dose when prescribed
by the PHCP.
c. Stay with the client during the

administration of medication.
d. Monitor vital signs.
e. Have emergency equipment and
medications readily available.

f. Initiate IV access for the

administration of emergency
medications if needed.

2. Signs of an anaphylactic reaction

a. Dyspnea
b. Chest tightness or pain
c. Pruritus or urticaria
d. Tachycardia
e. Dizziness

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