A female client undergoing chemotherapy for breast cancer is distressed about hair loss. The most effective intervention by the nurse would be to:

Teach the client about using hats and scarves to cover hair loss

Explain that hair loss is a temporary side effect of chemotherapy

Provide resources for wigs and other head coverings

Recommend limiting social interactions to avoid embarrassment

Answer and Explanation

The Correct Answer is C

Choice A reason: Teaching the client about using hats and scarves is helpful, but providing resources for wigs and head coverings offers more comprehensive support and options.

Choice B reason: Explaining that hair loss is a temporary side effect of chemotherapy is informative but does not directly address the client's distress.

Choice C reason: Providing resources for wigs and other head coverings directly addresses the client's concern about hair loss. It offers practical solutions and helps the client cope with the physical changes caused by chemotherapy.

Choice D reason: Recommending limited social interactions to avoid embarrassment is not supportive. It may increase feelings of isolation and does not address the underlying distress.

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Correct Answer is B

Explanation

Choice A reason: Skipping a weight check post-dialysis is not recommended. Monitoring weight is crucial to assess fluid balance and effectiveness of dialysis.

Choice B reason: Warming the dialysate solution before instillation is important to prevent discomfort and cramping during the dialysis process. This ensures the solution is at body temperature.

Choice C reason: Packing the catheter exit site with gauze is not recommended. The site should be kept clean and dry, with proper sterile dressing.

Choice D reason: Avoiding foods high in potassium is more relevant for clients on hemodialysis rather than peritoneal dialysis. Clients on peritoneal dialysis have fewer dietary restrictions regarding potassium.

A. "I can change who serves as my health care proxy at any time." B. "The health care proxy does not go into effect until I am incapable of making decisions." C. "I have to choose a family member as my health proxy." D. "My health care proxy can make decisions on my behalf if I am unable to do so."

Correct Answer is C

Explanation

Choice A reason: The statement "I can change who serves as my health care proxy at any time" is correct. A client can modify or revoke their health care proxy designation as long as they are mentally competent.

Choice B reason: The statement "The health care proxy does not go into effect until I am incapable of making decisions" is accurate. The health care proxy is activated when the client is unable to make their own medical decisions.

Choice C reason: The statement "I have to choose a family member as my health proxy" indicates a need for clarification. A client is not required to choose a family member as their health care proxy; they can select any trusted individual to act in this capacity.

Choice D reason: The statement "My health care proxy can make decisions on my behalf if I am unable to do so" is correct. The purpose of a health care proxy is to appoint someone to make medical decisions when the client is incapacitated.

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A female client undergoing chemotherapy for breast cancer is distressed about hair loss. The most effective intervention by the nurse would be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which information should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which statement by the client indicates a need for clarification?

Correct Answer is C

Explanation

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