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.


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.

Nursing

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