A client recently diagnosed with ovarian cancer is concerned about alopecia while taking cyclophosphamide (Cytoxan). Which response by the client indicates the effect of teaching regarding this condition?
1. "I don't need to worry about losing my hair."
2. "My hair will probably grow back."
3. "I will never have hair again!"
4. "Wigs only exacerbate the alopecia."
Correct Answer: 2
Rationale 1: "I don't need to worry about losing my hair" is incorrect because cyclophosphamide (Cytoxan), an alkylating agent, damages hair follicles, causing alopecia, although this effect is usually reversible.
Rationale 2: Cyclophosphamide (Cytoxan), an alkylating agent, damages hair follicles, causing alopecia, although this effect is usually reversible.
Rationale 3: "I will never have hair again!" is incorrect because cyclophosphamide (Cytoxan), an alkylating agent, damages hair follicles, causing alopecia, although this effect is usually reversible.
Rationale 4: "Wigs only exacerbate the alopecia" is incorrect because wigs can exacerbate the alopecia, but that is dependent upon the client and the situation.
Global Rationale: Cyclophosphamide (Cytoxan), an alkylating agent, damages hair follicles, causing alopecia, although this effect is usually reversible. I don't need to worry about losing my hair" is incorrect because cyclophosphamide (Cytoxan), an alkylating agent, damages hair follicles, causing alopecia, although this effect is usually reversible. "I will never have hair again!" is incorrect because cyclophosphamide (Cytoxan), an alkylating agent, damages hair follicles, causing alopecia, although this effect is usually reversible. "Wigs only exacerbate the alopecia" is incorrect because wigs can exacerbate the alopecia, but that is dependent upon the client and the situation.
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