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
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.
Correct Answer is C,A,B
Explanation
The correct order for administering ipratropium bromide (Atrovent), albuterol (Proventil), and an inhaled glucocorticoid (steroid) to treat chronic bronchitis is:
C. Ipratropium bromide (Atrovent), albuterol (Proventil), glucocorticoid (steroid)
Here's the rationale for this order:
Ipratropium bromide (Atrovent): Ipratropium is an anticholinergic bronchodilator that helps to relax the muscles around the airways, allowing for increased airflow. It is typically recommended to use ipratropium before other bronchodilators to maximize their effectiveness.
Albuterol (Proventil): Albuterol is a short-acting beta-agonist bronchodilator. It works by relaxing the muscles in the airways, leading to improved airflow. Using it after ipratropium further promotes bronchodilation.
Glucocorticoid (steroid): Inhaled glucocorticoids have anti-inflammatory effects and help to reduce airway inflammation. Using the glucocorticoid last allows it to reach the airways and exert its anti-inflammatory effects.
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