The physician has prescribed a chemotherapeutic drug for the ...

[scienceeasy]

The physician has prescribed a chemotherapeutic drug for the patient with cancer. This drug commonly causes loss of hair. The patient asks the nurse, Will all of my hair fall out? What is the most therapeutic response by the nurse?
 
  1. We are not really sure; applying an ice bag to your head may help.
  2. Don't worry, we can recommend an excellent wig company if need be.
  3. Yes, that is one of the expected side effects of this medication.
  4. It might. Have you discussed this with your physician?

Question 2

The patient is admitted to the hospital following an abortion, and she is septic. The physician orders antibiotics that the patient refuses stating, I don't deserve them. The nurse providing care has anti-abortion beliefs.
 
  What is the best response by the nurse?
  1. I think you need to do what is best for you.
  2. You have a serious infection and really need the drug.
  3. Do you think you should be punished because you had an abortion?
  4. I'll call your physician and let him know about your decision.

[ryhom]

Answer to Question 1

Correct Answer: 3
Rationale: The nurse must always be forthright in explaining drug actions and potential side effects; minimizing potential adverse effects can result in a distrust of the nurse. Ice bags can minimize hair loss with some patients, but the nurse is not honestly answering the patient's question. Telling a patient not to worry is one of the most non-therapeutic responses a nurse can make. In this case, the nurse, not the physician, is responsible for answering the patient's questions.

Answer to Question 2

Correct Answer: 2
Rationale: Telling the patient she needs the drug is providing the best care possible; this must be done even though the nurse's beliefs are different from the patient's beliefs. Telling the patient she needs to do what is best is inappropriate; the nurse knows she needs the drug. Calling the physician is inappropriate; the nurse knows the patient needs the drug. Asking the patient if she thinks she should be punished is inappropriate; she is septic and needs the medication.

[scienceeasy]

Thank you!

[ryhom]

Always glad to help...