medium · NCLEX-RN Pharmacological and Parenteral Therapies

Following a chemotherapy infusion, a client reports a 'sore throat' and difficulty swallowing. On assessment, the nurse notes white patches on the tongue and buccal mucosa.

Which action should the nurse take first?

  1. Document the findings and re-evaluate the mouth at the next shift change.
  2. Advise the client to use a vigorous alcohol-based mouthwash.
  3. Request a prescription for an antifungal oral suspension.
  4. Assess the client's ability to swallow and protect their airway.

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