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?
"Let's discuss this when we have more time.”
"I wouldn't worry about this right now.
"I can't imagine how difficult it would be to lose my hair.”
"I will get you information about some head-covering options.”
t's focus on your chemotherapy.”
The Correct Answer is D
Choice A rationale:
Delaying the discussion about managing hair loss when the client has expressed concern is not the best approach. The nurse should provide information and support when the client seeks it.
Choice B rationale:
Discouraging the client from worrying about hair loss at this moment is not empathetic. The client's concerns should be acknowledged and addressed.
Choice C rationale:
Expressing empathy and relating to the client's emotional experience is a good practice, but it does not directly answer the client's question about managing hair loss.
Choice D rationale:
Offering to get information about head-covering options indicates an understanding of the client's concerns and provides a proactive solution. It shows empathy and willingness to support the client during chemotherapy, where hair loss can be a significant emotional issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B"]
Explanation
The correct answer is choice b. Reduced fat in the stools.
Choice A rationale:
Decreased sodium excretion is not a therapeutic effect of pancrelipase. Pancrelipase is an enzyme replacement therapy that helps in the digestion of fats, proteins, and carbohydrates, but it does not affect sodium excretion.
Choice B rationale:
Reduced fat in the stools is the correct answer. Pancrelipase helps in the digestion of fats, which reduces the amount of fat excreted in the stools. This is particularly important for patients with cystic fibrosis, who often have pancreatic insufficiency leading to malabsorption of fats.
Choice C rationale:
Improved respiratory function is not a direct therapeutic effect of pancrelipase. While better nutrition and absorption can indirectly support overall health, including respiratory function, pancrelipase specifically targets digestive enzyme insufficiency.
Choice D rationale:
Improved absorption of vitamins B and C is not the primary therapeutic effect of pancrelipase. Pancrelipase aids in the absorption of fat-soluble vitamins (A, D, E, and K) rather than water-soluble vitamins like B and C.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}
Explanation
Elevate extremity.Anticipated.This helps to reduce swelling and improve blood flow to the affected area. Send the catheter tip for culture.Anticipated.This helps to identify the possible cause of infection and guide the appropriate antibiotic therapy.
Assist in inserting a new IV catheter in a site distal to infiltration site.Contraindicated.A new IV catheter should be inserted in a site proximal to the infiltration site or in another extremity to avoid further damage to the infiltrated vein.
Suggest irrigating the IV catheter.Contraindicated.Irrigating the IV catheter may worsen the infiltration and increase the risk of complications.
Apply a cool compress to the extremity.Anticipated.This helps to reduce inflammation and pain at the infiltration site.
Administer phytonadione.Contraindicated.Phytonadione is a vitamin K antagonist that is used to reverse the effects of warfarin, an anticoagulant.It has no role in the management of IV infiltration.
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