A nurse is caring for a client who is to begin chemotherapy. The client asks the nurse about managing hair loss. Which of the following responses should the nurse make?
"I can't imagine how difficult it would be to lose my hair."
"Let's discuss this when we have more time."
"I will get you information about some head-covering options."
"I wouldn't worry about this right now. Let's focus on your chemotherapy."
The Correct Answer is C
A. Incorrect. While expressing empathy is important, the nurse should also provide practical information and support.
B. Incorrect. Delaying the discussion may leave the client feeling unheard and anxious about their upcoming chemotherapy.
C. Correct. This response acknowledges the client's concerns and provides a proactive solution to address the potential issue of hair loss. Offering information about head covering options demonstrates the nurse's support and willingness to help the client manage the physical and emotional impact of chemotherapy.
D. Incorrect. Dismissing the client's concern may contribute to their anxiety and apprehension about the chemotherapy process. It's important to address all aspects of the client's experience, including potential side effects like hair loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Insert an oral airway into the client's mouth.Inserting anything into the client’s mouth during a seizure is contraindicated due to the risk of oral injury, aspiration, or causing airway obstruction.
B. Lower the side rails of the bed when the seizure begins.Lowering the side rails is inappropriate and increases the risk of the client falling out of bed and sustaining an injury. Instead, the nurse should ensure padded side rails are in place or protect the client by cushioning their head and limbs if side rails are not padded.
C. Measure the duration of the seizure.It is critical to measure the duration of a seizure to provide accurate information to the healthcare team. The duration helps determine the severity of the seizure and the need for medical interventions, such as administering medications to stop prolonged seizures (status epilepticus).
D. Restrain the client's arms and legs to prevent injury.Restraint during a seizure is inappropriate and can cause musculoskeletal injuries. The nurse should allow the seizure to run its course while ensuring the client’s safety.
Correct Answer is C
Explanation
A. Incorrect. Decreased platelets are not typically associated with infection but can be indicative of bleeding disorders.
B. Incorrect. Increased iron levels are not directly related to infection but can be associated with conditions like hemochromatosis.
C. Correct. An increased erythrocyte sedimentation rate (ESR. is it a common indicator of inflammation and infection? It reflects the rate at which red blood cells settle in a tube over a specific period.
D. Incorrect. Decreased hemoglobin levels are not specific to infection but can be seen in various conditions, including anemia.
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