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 A
Explanation
A. “I will not need to know how to check my body temperature.”:
This statement is incorrect. Monitoring body temperature is important for patients receiving chemotherapy because a compromised immune system increases the risk of infection. Fever can be an early sign of infection, and patients are often instructed to monitor their temperature regularly.
B. “Chemotherapy is excreted in my bodily fluids.”:
This statement is correct. Chemotherapy drugs can be excreted in various bodily fluids, such as urine, sweat, and saliva. Patients are advised to take precautions to avoid exposing others to these bodily fluids during and shortly after chemotherapy.
C. “My spouse will wear gloves when emptying my urinal.”:
This statement is correct. To reduce the risk of exposure to chemotherapy drugs in urine, it is advisable for caregivers, such as spouses, to wear gloves when handling bodily fluids.
D. “The chemotherapy will remain in my body for 2-3 days.”:
This statement is correct. The duration during which chemotherapy remains in the body can vary depending on the specific drugs administered. Patients are typically provided with guidelines on how long they need to take precautions to minimize exposure to others.
Correct Answer is D
Explanation
A. Glucocorticoid
Glucocorticoids are anti-inflammatory medications commonly used as long-term control medications in asthma management. They are not typically considered rescue inhalers. They work gradually over time to reduce inflammation and are not suitable for immediate relief during an acute asthma attack.
B. Mast cell stabilizer
Mast cell stabilizers are anti-inflammatory medications that work by preventing the release of inflammatory substances from mast cells. They are used as maintenance therapy to prevent asthma symptoms but are not rescue inhalers. They do not provide quick relief during acute episodes.
C. Mucolytic agent
Mucolytic agents are medications that help thin and loosen mucus in the airways. While they may be used to improve respiratory symptoms, they are not considered rescue inhalers. They do not provide rapid bronchodilation and are typically used for different purposes, such as addressing mucus production and clearance.
D. Short-acting beta 2 agonist
This is the correct answer. Short-acting beta 2 agonists (SABAs) are bronchodilators that provide quick relief during acute bronchoconstriction. They act by relaxing the smooth muscles in the airways, allowing for rapid dilation and improved airflow. SABAs are commonly used as rescue inhalers to alleviate symptoms during asthma attacks or sudden exacerbations.
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