A chemotherapy drug that causes alopecia is prescribed for a ...

[nelaaney]

A chemotherapy drug that causes alopecia is prescribed for a patient. Which action should the nurse take to maintain the patient's self-esteem?
 
  a. Tell the patient to limit social contacts until regrowth of the hair occurs.
  b. Encourage the patient to purchase a wig or hat and wear it once hair loss begins.
  c. Teach the patient to gently wash hair with a mild shampoo to minimize hair loss.
  d. Inform the patient that hair usually grows back once the chemotherapy is complete.

Question 2

A patient who has ovarian cancer is crying and tells the nurse, My husband rarely visits. He just doesn't care. The husband indicates to the nurse that he never knows what to say to help his wife.
 
  Which nursing diagnosis is most appropriate for the nurse to add to the plan of care?
  a. Compromised family coping related to disruption in lifestyle
  b. Impaired home maintenance related to perceived role changes
  c. Risk for caregiver role strain related to burdens of caregiving responsibilities
  d. Dysfunctional family processes related to effect of illness on family members

[carlsona147]

Answer to Question 1

ANS: B
The patient is taught to anticipate hair loss and to be prepared with wigs, scarves, or hats. Limiting social contacts is not appropriate at a time when the patient is likely to need a good social support system. The damage occurs at the hair follicle and will occur regardless of gentle washing or use of a mild shampoo. The information that the hair will grow back is not immediately helpful in maintaining the patient's self-esteem.

Answer to Question 2

ANS: D
The data indicate that this diagnosis is most appropriate because poor communication among the family members is affecting family processes. No data suggest a change in lifestyle or its role as an etiology. The data do not support impairment in home maintenance or a burden caused by caregiving responsibilities.

[nelaaney]

Correct answers!

[carlsona147]

Great! Please up vote