A nurse on the oncology unit is preparing to care for a client newly diagnosed with small cell lung cancer. Which statements would the nurse include in client teaching?

Select all that apply.
  1. “Avoid aspirin-based products to reduce the risk of bleeding.”
  2. “Avoid crowds and report low-grade fever, sore throat, or chills.”
  3. “Keep vaccinations current, including live vaccines, to promote wellness.”
  4. “Use a soft toothbrush and electric razor to minimize the risk of bleeding.”
  5. “Inspect the mouth regularly for sores and ulcers and rinse the mouth after meals.”
Numbers 1, 2, 4, and 5 are correct.
Rationale: The health care provider should be consulted before receiving any vaccinations, and live vaccines should not be given. Avoiding aspirin and using electric razors and soft toothbrushes will help minimize the risk of bleeding. Mouth rinses may be prescribed for thrush and ulcers. Low-grade fever, sore throat, or chills indicate infection and should be reported to the health care provider.