A nurse is caring for a client who is to begin chemotherapy. The client asks the nurse about managing hair loss. Which of the following responses should the nurse make?
"I can't imagine how difficult it would be to lose my hair."
"Let's discuss this when we have more time."
"I will get you information about some head-covering options."
"I wouldn't worry about this right now. Let's focus on your chemotherapy."
The Correct Answer is C
A. Incorrect. While expressing empathy is important, the nurse should also provide practical information and support.
B. Incorrect. Delaying the discussion may leave the client feeling unheard and anxious about their upcoming chemotherapy.
C. Correct. This response acknowledges the client's concerns and provides a proactive solution to address the potential issue of hair loss. Offering information about head covering options demonstrates the nurse's support and willingness to help the client manage the physical and emotional impact of chemotherapy.
D. Incorrect. Dismissing the client's concern may contribute to their anxiety and apprehension about the chemotherapy process. It's important to address all aspects of the client's experience, including potential side effects like hair loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A.Restraints should be released more frequently, typically every 2 hours, to assess circulation, skin integrity, and range of motion, and to provide an opportunity for toileting and other needs.
B.It is essential to document the specific behaviors that led to the use of restraints, as this provides a clear rationale for why the restraints were necessary. This documentation is important for legal and clinical reasons and helps ensure that restraints are used appropriately and only when absolutely necessary.
C.Clients are not required to provide written consent for the use of restraints, especially in situations where restraints are necessary to protect the client or others from immediate harm. However, the nurse must follow the facility's protocol, which usually involves obtaining a physician's order and documenting the justification for the restraint use.
D.The nurse should check the client's status more frequently, typically every 15 minutes, to ensure the client's safety and well-being while in restraints.
Correct Answer is B
Explanation
The correct answer is choiceB. Fever.
Choice A rationale:
Peeling of the hands and feet is not a typical manifestation of pertussis.This symptom is more commonly associated with conditions like Kawasaki disease.
Choice B rationale:
Fever is a common symptom in the early stages of pertussis, along with a mild cough and runny nose.
Choice C rationale:
A beefy, red tongue is not associated with pertussis.This symptom is more characteristic of scarlet fever.
Choice D rationale:
Facial erythema is not a typical symptom of pertussis.Pertussis primarily affects the respiratory system, causing severe coughing fits.
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