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 B
Explanation
A. Shellfish
Shellfish consumption is not typically contraindicated with targeted cancer therapy. However, it is essential for individuals undergoing cancer treatment to follow a well-balanced and nutritious diet. If there are specific dietary restrictions or recommendations based on an individual's overall health or treatment plan, these should be discussed with the healthcare provider or a registered dietitian.
B. Grapefruit
Grapefruit and grapefruit juice contain compounds that can interfere with the metabolism of certain medications, including many targeted therapies. This can result in either increased or decreased levels of the drug in the bloodstream, potentially affecting the efficacy and safety of the treatment. Therefore, individuals receiving targeted therapy are often advised to avoid grapefruit.
C. Yerba mate
Yerba mate is a type of tea made from the leaves of the Ilex paraguariensis plant. While it is generally considered safe, specific interactions with targeted cancer therapies are not well-documented. However, it is always advisable for individuals undergoing cancer treatment to consult with their healthcare team regarding dietary choices, including herbal teas.
D. Aged cheese
Aged cheese is not typically contraindicated with targeted cancer therapy. However, dietary recommendations may vary based on individual health conditions and treatment plans. In some cases, certain dietary restrictions or modifications may be advised, so it's important for individuals to discuss their specific dietary needs with their healthcare providers or dietitians.
Correct Answer is D
Explanation
A. Kill cancer cells and normal cells
This describes the general mechanism of traditional chemotherapy, which targets rapidly dividing cells. Unlike targeted therapies, traditional chemotherapy does not selectively target specific molecules or pathways in cancer cells, leading to a broader impact on both cancer cells and normal cells.
B. Increase neutrophils to fight infection
This does not describe the mechanism of targeted therapies. Neutrophils are a type of white blood cell involved in the immune response to infection. Targeted therapies primarily focus on blocking specific molecular pathways involved in cancer cell growth and survival.
C. Target the spread of infection
This option is not an accurate description of how targeted therapies treat cancer. The primary goal of targeted therapies is to interfere with specific molecular processes in cancer cells, not to target the spread of infection.
D. Block specific cancer cell growth on the molecular level
This is the correct answer. Targeted therapies are designed to block or interfere with specific molecules or pathways involved in the growth and survival of cancer cells. By targeting these specific aspects of cancer cell biology, targeted therapies aim to inhibit the uncontrolled growth of cancer cells while minimizing damage to normal cells.

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