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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. History of thrombophlebitis in both extremities: This is a non-modifiable risk factor. Prior venous inflammation or clotting increases susceptibility to varicose veins but cannot be changed through lifestyle modifications.
B. Mother and maternal grandmother had varicose veins: Family history reflects genetic predisposition and is a non-modifiable factor. Inherited vein wall weakness increases risk but cannot be influenced by behavior.
C. Employed as an over-the-road truck driver: Prolonged sitting or standing restricts venous return and contributes to vein distension. This is modifiable through frequent leg movement, walking breaks, and use of compression stockings.
D. Weight gained during past pregnancies: Weight gain during previous pregnancies is a past event and no longer modifiable. Although pregnancy increases venous pressure, current lifestyle changes can't alter that history.

A. "Do you have a friend accompanying you?" B. "Did you have a beer after work?" C. "Do you smoke?" D. "Are you married and with children?" E. "Have you recently drunk a caffeinated beverage?"

Correct Answer is ["B","C","E"]

Explanation

A. "Do you have a friend accompanying you?": This question does not provide clinically relevant information for assessing elevated blood pressure. It focuses on social context rather than lifestyle or physiological contributors to hypertension.
B. "Did you have a beer after work?": Alcohol consumption can lead to acute and chronic elevations in blood pressure, especially with frequent intake. This question helps determine if the elevated reading is situational or requires further follow-up.
C. "Do you smoke?": Smoking leads to vasoconstriction, increases heart rate, and contributes to chronic vascular damage. Identifying tobacco use helps assess cardiovascular risk and guides education on modifiable factors.
D. "Are you married and with children?": This question relates to the client's social and family situation, which can indirectly influence stress levels and lifestyle choices, but it's not a direct physiological factor that would immediately explain an elevated blood pressure reading at a screening.
E. "Have you recently drunk a caffeinated beverage?": Caffeine can temporarily raise blood pressure, particularly in those not habituated to it. Understanding caffeine intake helps determine whether the current blood pressure is transient or a potential early sign of hypertension.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following factors would the nurse identify as a modifiable risk factor for the development of varicose veins?

Correct Answer is C

Explanation

The nurse is volunteering at a community blood pressure screening. A client, never diagnosed with hypertension, presents with a blood pressure of 158/90 mm Hg. Which assessment question(s) is appropriate for the nurse to ask? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

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