Sarah Williams is a 54-year-old female with lung cancer who recently finished her second round of chemotherapy. She comes to her appointment at the oncology clinic with concerns about white patches on...

Sarah Williams is a 54-year-old female with lung cancer who recently finished her second round of chemotherapy. She comes to her appointment at the oncology clinic with concerns about white patches on her tongue and mouth. She states that her mouth is not sore but her throat burns when she swallows. This has made it very difficult for her to eat and drink. A history and physical exam are completed. She is 5

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tall and weighs 52.7 kg (116 lb). The health care provider evaluates Sarah for oropharyngeal candidiasis. Sarah was diagnosed with lung cancer several months prior and is taking chemotherapy and corticosteroids. Upon initial assessment, her vital signs are normal, and she has no complaints except her expressed concerns about her mouth and throat. She has worn dentures for about 5 years.

1. What are the signs and symptoms that you, as the nurse, look for to determine if Sarah is experiencing oropharyngeal candidiasis?

2. Why do you think that Sarah is at risk for this type of infection?

3. What treatment do you anticipate that Sarah will receive? What patient teaching will she need regarding this treatment?