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 D

Explanation

A. Checking the perineum for changes in "show" or discharge is important for monitoring labor progress, but it does not directly address the client's immediate need to empty her bladder. This action would be more relevant if there were signs of labor progression or complications.

B. Reviewing the fetal heart rate pattern is crucial for assessing fetal well-being, but it does not resolve the client's discomfort from a full bladder. While important, it does not address the specific request made by the client.

C. Obtain a straight catheter kit to empty her bladder is unnecessary since the client can ambulate and has expressed the desire to void. Catheterization is typically reserved for clients unable to void independently or when the bladder is distended and interfering with labor progression.

D. Assist the client up to the bathroom is the correct action. Allowing the client to empty her bladder helps facilitate labor progression, as a full bladder can impede fetal descent. Since the vaginal exam is unchanged and the client is stable, ambulation to the bathroom is safe and appropriate. Additionally, this action supports the client’s autonomy and comfort during labor.

A. The UAPS keep their backs straight and knees bent when moving the client. B. A turning sheet is used under the client for turning and repositioning. C. An abduction pillow is placed between the client's legs when positioned. D. The client is told to keep both legs straight and together while turning.

Correct Answer is D

Explanation

A. The UAPs keep their backs straight and knees bent when moving the client. - This indicates the UAPs are following proper body mechanics for moving the client safely.

B. A turning sheet is used under the client for turning and repositioning. - Using a turning sheet aids in reducing friction and facilitating smooth turning, indicating familiarity with proper
procedures.

C. An abduction pillow is placed between the client's legs when positioned. - This indicates awareness of the need to maintain proper positioning and prevent dislocation after hip surgery.

D. The client is told to keep both legs straight and together while turning. - After a hip arthroplasty, it's crucial to avoid certain movements like keeping both legs straight, as this can stress the hip joint or prosthesis, indicating a need for additional information about proper post-operative positioning.

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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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Correct Answer is D

Explanation

The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPS needs additional information about the turning procedure?

Correct Answer is D

Explanation

The practical nurse (PN) overhears a conversation between an unlicensed assistive personnel (UAP) and another staff member in the hospital cafeteria line concerning a client's reaction to being given a diagnosis of terminal cancer. What is the best nursing action?

The practical nurse (PN) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.

The practical nurse (PN) is reviewing instructions for the use of pilocarpine eye drops with a client who has glaucoma. The client states, "I should use these drops to anesthetize my eye if I experience eye pain." Which action should the PN implement?

The practical nurse (PN) observes a client's mouth and lips as seen in the picture. Which follow-up action is most important for the PN to take?

A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings. The practical nurse (PN) enters the room to administer medications and finds the couple in bed together. What action should the PN take?

After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?