What should a nurse do first upon discovering white plaques in the oral cavity of an AIDS client?

Upon discovering white plaques in the oral cavity of an AIDS client, the most appropriate initial action is to document the presence of the lesions. Correctly documenting the findings is vital because it ensures that there is a detailed record of the patient's condition that can be used for ongoing evaluation and treatment planning. Proper documentation provides a baseline for further assessments and can aid in identifying potential infections such as oral thrush, which is common in immunocompromised patients, including those with AIDS.

While informing the physician is important, it typically follows the initial assessment and documentation phase. Without proper documentation, there may be a lack of clarity for the physician when considering a treatment plan. Similarly, beginning treatment with antifungal medication or recommending a mouthwash should only occur after a thorough assessment and documentation. Effective patient care relies on accurate records to guide clinical decisions. Therefore, highlighting the presence of the lesions in the patient's medical record is critical as it facilitates appropriate follow-up care.