A nurse is discussing alopecia with a client who is to begin chemotherapy. Which of the following statements should the nurse include?
Any hair regrowth is usually the same color and texture as before.
Placing a tourniquet around the scalp before treatment can reduce hair loss.
Hair loss is typically permanent.
Hair loss is common and includes eyebrows and eyelashes.
The Correct Answer is D
Rationale:
A. After chemotherapy, hair regrowth may differ in color, texture, or thickness from the original hair. Some patients experience curlier, coarser, or lighter-colored hair initially. This statement is not always accurate and should not be presented as a guarantee.
B. Using a tourniquet is not a safe or recommended method to prevent chemotherapy-induced alopecia. Instead, techniques like scalp cooling caps are sometimes used under medical supervision to reduce hair loss.
C. Chemotherapy-induced hair loss is usually temporary. Hair typically begins to regrow weeks to months after treatment ends, although regrowth may initially differ in color or texture. Permanent hair loss is rare and usually associated with high-dose radiation to the scalp or specific chemotherapeutic agents.
D. Chemotherapy often targets rapidly dividing cells, which includes hair follicles. This can result in hair loss not only on the scalp but also in eyebrows, eyelashes, and other body hair. Patients should be prepared for this change and provided with supportive education on coping strategies, such as head coverings, wigs, or scarves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. A healthy stoma is not typically painful, even postoperatively. Patients may experience mild discomfort from surgery, but the stoma itself has no nerve endings and should not cause significant pain. Persistent pain could indicate complications such as ischemia or infection.
B. A purple stoma indicates poor blood supply or ischemia, which is an emergency. A normal stoma should be beefy red, moist, and slightly protruding, indicating adequate perfusion.
C. The consistency of stool depends on the location of the colostomy. A sigmoid colostomy, being located in the lower part of the colon, generally produces formed stool rather than liquid output. This is in contrast to ascending or transverse colostomies, where output may be more liquid.
D. A sigmoid colostomy is surgically placed in the left lower quadrant of the abdomen, which is consistent with the location of the sigmoid colon. Educating the patient about stoma location helps with self-care, appliance placement, and expectations postoperatively.
Correct Answer is A
Explanation
Rationale:
A. A stoma prolapse occurs when a portion of the intestine protrudes excessively through the stoma site. Increased intra-abdominal pressure from chronic coughing, straining, or heavy lifting can contribute to prolapse, making it a major long-term complication for colostomy patients. It can lead to discomfort, impaired appliance fit, and potential ischemia if severe.
B. While the skin around the stoma can become irritated or inflamed due to poor hygiene, leakage, or allergic reactions, coughing is not a primary cause of long-term inflammation at the stoma site.
C. Obstruction of the stoma usually results from scar tissue, adhesions, or impacted stool, not from coughing. While increased intra-abdominal pressure may transiently affect output, it does not typically cause long-term obstruction.
D. Stenosis (narrowing of the stoma) generally develops from scarring or poor healing, not from repetitive coughing. Coughing primarily contributes to prolapse rather than narrowing.
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