The nurse is caring for a client who is scheduled for chemotherapy. Which is the best statement the nurse can make about the client experiencing chemotherapy-induced alopecia?
"New hair growth will return without any change to color or texture."
"Wigs can be used after the chemotherapy is completed."
"Clients with alopecia will have delay in grey hair."
The hair loss is usually temporary."
The Correct Answer is D
A. "New hair growth will return without any change to color or texture.": Hair may grow back with changes in texture, thickness, or color. Some clients experience curlier or finer hair than before, so this statement is misleading and overly definite.
B. "Wigs can be used after the chemotherapy is completed.": Wigs can be used during chemotherapy as well, not only afterward. This statement unnecessarily limits options for managing the psychological effects of alopecia during treatment.
C. "Clients with alopecia will have delay in grey hair.": Chemotherapy affects rapidly dividing cells, including hair follicles, but it does not delay the natural aging process or graying. This is not a known effect of chemotherapy-induced alopecia.
D. "The hair loss is usually temporary.": This is the most accurate and reassuring statement. Chemotherapy-induced alopecia is a common side effect of many chemotherapy drugs. It occurs because chemotherapy targets rapidly dividing cells, including hair follicle cells. It is typically reversible, and hair regrowth begins within weeks to months after treatment ends.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Being present without speaking: Remaining quietly present can be grounding and non-threatening to disoriented clients. It helps establish a calming environment and builds trust without increasing sensory input.
B. Presenting the reality of the situation: Confronting a disoriented or psychotic client with reality may escalate agitation and aggression. Challenging their perception can feel threatening and lead to increased resistance or hostility.
C. Allowing the client freedom in a confined area: Providing limited autonomy in a safe space can reduce feelings of powerlessness. It supports de-escalation by allowing the client some control while ensuring safety.
D. Speaking in slow, brief sentences: Clear, simple communication helps reduce cognitive overload in disoriented clients. It decreases anxiety and supports comprehension, making it a key strategy in managing agitation.
Correct Answer is A
Explanation
A. Fever, sore throat, and chills: These are classic signs of infection and are especially concerning in leukopenia, where the body’s ability to fight infections is compromised due to a low white blood cell count. Prompt recognition is critical for early intervention.
B. Nausea and vomiting: While these may be side effects of many medications, they are not specific indicators of leukopenia. They reflect gastrointestinal irritation rather than immunosuppression.
C. Intolerance to heat and rash: These symptoms are more consistent with thyroid dysfunction or allergic reactions, not leukopenia. They do not suggest a compromised immune response.
D. Diarrhea, diaphoresis, and fever: Though fever can be a sign of leukopenia-related infection, diarrhea and diaphoresis are nonspecific symptoms and may relate to other systems or drug side effects. Fever, sore throat, and chills are more indicative of infection due to leukopenia.
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