Ms. Williams is a 72 year-old female who is scheduled to begin chemotherapy within the next two weeks.
The chemotherapeutic agent that he oncologist has prescribed causes alopecia in almost 100% of all cases. Ms. Williams has always been very particular about her hair and is concerned about this side effect.
Which statement by the oncology clinic RN, as it relates to this side effect, is most appropriate?
“Do you think you and your daughter may have time to go shopping for a wig between now and the time you begin treatment?”
“Most patients just wear a hat or turban and just let their hair grow back following treatment.”
“I would be less concerned about cosmetic changes that you may experience and be more concerned about treating the cancer.”
“Just pray about it.”
The Correct Answer is C
A. “Do you think you and your daughter may have time to go shopping for a wig between now and the time you begin treatment?”
This option recognizes the patient's concern about hair loss and offers a practical suggestion for preparing for it. It shows empathy and support by involving a family member in the process of coping with potential hair loss.
B. “Most patients just wear a hat or turban and just let their hair grow back following treatment.”
This statement provides an alternative approach to dealing with hair loss by suggesting the use of head coverings like hats or turbans. It emphasizes the temporary nature of the hair loss during treatment.
C. “I would be less concerned about cosmetic changes that you may experience and be more concerned about treating the cancer.”
This option encourages the patient to prioritize the cancer treatment over cosmetic concerns, emphasizing the importance of addressing the underlying health issue. It offers a supportive and empathetic perspective.
D. “Just pray about it.”
This option suggests relying on prayer as a sole coping mechanism, which may not address the patient's emotional concerns effectively. While spirituality and prayer can be important for some individuals, it's essential to provide practical and emotional support as well.
E. “Keep a positive attitude. Just wait until your treatment begins to before you become concerned
about losing your hair, after all, you may not experience hair loss.”
This statement encourages a positive attitude and suggests delaying concerns about hair loss until after treatment has begun. While maintaining a positive outlook is beneficial, it's also important to acknowledge and address the patient's current concerns and provide information about potential side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
. because many chemotherapy patients require blood transfusions:
While some chemotherapy patients may require blood transfusions, this is not the primary reason for using intravenous ports, central lines, or peripherally inserted central lines.
B. because many chemotherapy patients need long-term intravenous access:
Long-term intravenous access may be needed for some chemotherapy patients, but the critical consideration is the vesicant nature of many chemotherapy drugs.
C. because chemotherapy patients have frequent blood draws orders:
Frequent blood draws may be necessary for monitoring purposes, but the primary reason for using specialized lines in chemotherapy patients is to administer the drugs safely.
D. because many chemotherapeutic drugs are vesicants:
The primary reason for using intravenous ports, central lines, or peripherally inserted central lines in chemotherapy patients is to administer chemotherapy drugs directly into large veins. Many chemotherapeutic drugs are vesicants, meaning they can cause severe damage to tissues if they leak into the surrounding areas. These specialized lines allow for the safe and controlled administration of chemotherapy drugs, reducing the risk of extravasation (leakage into surrounding tissues).
Correct Answer is C
Explanation
Explanation:
A. Administer phenergan (Promethazine) 12.5 mg IVP at the first complaint of nausea.
This option suggests waiting until the patient complains of nausea before administering the antiemetic. It is not a proactive approach and may not effectively prevent nausea associated with chemotherapy.
B. Administer ondansetron (Zofran) 4mg IV Push after Ms. Samuels complains of nausea.
Similar to option A, this choice involves waiting for the patient to experience nausea before administering the medication. Again, it is not a proactive strategy for preventing chemotherapy-induced nausea and vomiting.
C. Administer ondansetron (Zofran) 4mg IV push sometime between 1300-1330.
This option is the most appropriate among the given choices. It suggests administering the antiemetic (ondansetron) before the scheduled chemotherapy session. Ondansetron is commonly used as a prophylactic measure to prevent nausea and vomiting associated with chemotherapy.
D. Administer phenergan (Promethazine) 25 mg PO at 1345.
This choice involves administering the antiemetic (phenergan) orally just 15 minutes before the scheduled chemotherapy session. While it is better than waiting for symptoms to appear, oral medications may take some time to be absorbed, and it might not provide as rapid relief as an intravenous (IV) medication.
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