A patient develops alopecia related to doxorubicin (Adriamycin) therapy. Which statement should the nurse use to explain this side effect?
a. Uric acid collects in hair cells.
b. Antibiotics stop all hair growth.
c. Bone marrow suppression prevents nourishment of hair follicles.
d. Anti-neoplastics, such as Adriamycin, attack all rapidly dividing cells.
ANS: D
D. Chemotherapy affects the cell cycle in different ways to stop division and growth, so rapidly dividing cells are most affected. Hair is rapidly dividing. A. B. Antibiotics do not stop hair growth or cause uric acid to collect in hair. C. Bone marrow suppression does not directly affect the hair cells.
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A man comes to the clinic complaining of feeling "unhappy." As the nurse caring for this patient, what would you know happens as the patient's tension grows?
A) Coping behaviors improve B) Social interactions become more important C) Financial concerns become less important D) Security and survival are threatened
A nurse explains to the parents of a newborn baby that their child possesses several automatic responses controlled by the central nervous system, called ____________________, that help the baby survive
Fill in the blank with correct word.
A nurse is caring for four clients. Which client is least likely to seek psychiatric care?
A) Jewish female social worker B) Catholic female accountant C) Jewish male teacher D) Protestant male business executive
A patient comes to the clinic with a 2-day history of cough and wheezing. The patient has no previous history of asthma. The patient reports having heartburn for several months, which has worsened considerably
The primary care NP makes a diagnosis of asthma and orders oral steroids and inhaled albuterol. The patient's condition worsens, and a chest radiograph obtained 2 days later shows bilateral infiltrates. The NP has failed to: a. confirm the diagnosis. b. determine the aggressiveness of therapy. c. prescribe an adequate dose of medications. d. allow the drugs an adequate amount of time to work.