A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the

"We can never tell. People with cancer react differently to chemotherapy."

"It depends on the amount of drug you receive with your particular treatment."

"Hair loss is not usually permanent, but the color and texture may change when it grows back."

"It is likely that your hair will grow back, but if it does not there are very good wigs available."

Answer and Explanation

The Correct Answer is C

A.   This response offers uncertain information without giving much reassurance or accurate details about the typical outcome of hair loss post-chemotherapy.
B.   This response doesn't address the usual outcome of hair regrowth after chemotherapy and focuses on treatment dosage rather than the nature of hair loss.
C.   "Hair loss is not usually permanent, but the color and texture may change when it grows back." This response offers a balanced and accurate explanation, providing reassurance about potential hair regrowth while acknowledging possible changes in hair characteristics.
D.   While offering information about wigs, this response doesn't directly address the likelihood of hair regrowth after chemotherapy and focuses on alternatives rather than the expected outcome.

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Correct Answer is A

Explanation

A. Ensuring minimal clutter reduces the risk of falls and injury due to potential bleeding episodes from ITP.
B. Monitoring blood cell laboratory values is important but doesn’t directly prevent physical injury.
C. Assessing for nerve pain or paralysis is essential for overall health but doesn't specifically prevent injury.
D. Evaluating neurological status after exercising is crucial but doesn't directly address the risk of physical injury associated with ITP.

A. Encourage the client to use the spirometer before receiving analgesia. B. Offer to reschedule the spirometer instruction until several hours later. C. Provide a PRN analgesic and then encourage use of the spirometer. D. Reassure the client that use of the incentive spirometer is not painful.

Correct Answer is A

Explanation

A. Encouraging the client to use the spirometer before analgesia is important as it helps prevent respiratory complications post-surgery. It's crucial for optimal recovery.
B. Rescheduling the spirometer instruction may delay a critical intervention for the client's postoperative care.
C. Providing a PRN analgesic before spirometer use might hinder the client from benefiting fully from the respiratory therapy.
D. Reassuring the client that the incentive spirometer is not painful doesn't address the client's request for analgesia before using it.

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A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the

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Naxlex Comprehensive Predictor Exams

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

Correct Answer is A

Explanation

The practical nurse (PN) is explaining the use of an incentive spirometer to a postoperative client. The client asks the PN to administer an analgesic before using the spirometer. How should the PN respond?

Correct Answer is A

Explanation

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?

The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of lochia rubra and the uterus is firm, dextroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action?

Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?

Which intervention should the practical nurse (PN) reinforce for a client with pruritus?

A chronically depressed older male resident of a long-term care facility has become more reclusive and today refuses to leave his room. His family has away and are unable to visit as much as in the past. Which comment by the practical nurse (PN) is likely to be most helpful to this client?

The practical nurses (PN) notes that an unlicensed assistive personnel (UAP) is ambulating a male client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the PN take?

An older male client who fell down several stairs 4-hours ago is scheduled for magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client?