Marian University Nsg 331 Lewis Table 15.11 Questions
With Complete Solutions
Alopecia etiology Correct Answers Chemotherapy or radiation
to scalp destroys hair follicles.
Hair loss usually is temporary with chemotherapy, but usually
permanent in response to radiation.
Alopecia nursing management Correct Answers • Suggest
ways to cope with hair loss (e.g., hair pieces, scarves, wigs).
• Cut long hair before therapy.
• Avoid excessive shampooing, brushing, and combing of hair.
• Avoid use of electric hair dryers, curlers, and curling rods.
• Discuss impact of hair loss on self-image.
Anemia etiology Correct Answers Therapy causes bone
marrow depression.
Malignant infiltration of bone marrow by cancer.
Anemia nursing management Correct Answers • Monitor
hemoglobin and hematocrit levels.
• Give iron supplements and erythropoietin.
• Encourage intake of foods that promote RBC production (eggs,
dairy, poultry, grains, fish, leafy green veggies, OJ, peanuts,
avocado)
Anorexia etiology Correct Answers Release of TNF and IL-1
from macrophages has appetite-suppressant effect.
Therapy-induced GI effects (mucositis, nausea, vomiting, bowel
problems) and anxiety reduce appetite.
, Anorexia nursing management Correct Answers • Monitor
weight.
• Encourage patient to eat small, frequent meals of high-protein,
high-calorie foods.
• Gently encourage patient to eat, but do not nag.
• Recommend keeping a food diary to track daily calories and
fluids.
• Serve food in pleasant environment.
Cardiotoxicity etiology Correct Answers Some chemotherapy
drugs (e.g., anthracyclines, taxanes) can cause ECG changes and
rapidly progressive heart failure.
Cardiotoxicity nursing management Correct Answers •
Monitor heart with ECG and cardiac ejection fractions.
• Drug therapy may need to be changed for symptoms or
deteriorating cardiac function studies.
• Administer antidysrhythmic drugs as ordered.
Chemotherapy-induced Skin Changes Correct Answers
Acneiform eruptions.
Acral erythema.
Hyperpigmentation.
Photosensitivity.
Telangiectasia.
Chemotherapy-induced skin changes nursing management
Correct Answers • Alert patient to potential skin changes.
• Encourage patient to avoid sun exposure.
With Complete Solutions
Alopecia etiology Correct Answers Chemotherapy or radiation
to scalp destroys hair follicles.
Hair loss usually is temporary with chemotherapy, but usually
permanent in response to radiation.
Alopecia nursing management Correct Answers • Suggest
ways to cope with hair loss (e.g., hair pieces, scarves, wigs).
• Cut long hair before therapy.
• Avoid excessive shampooing, brushing, and combing of hair.
• Avoid use of electric hair dryers, curlers, and curling rods.
• Discuss impact of hair loss on self-image.
Anemia etiology Correct Answers Therapy causes bone
marrow depression.
Malignant infiltration of bone marrow by cancer.
Anemia nursing management Correct Answers • Monitor
hemoglobin and hematocrit levels.
• Give iron supplements and erythropoietin.
• Encourage intake of foods that promote RBC production (eggs,
dairy, poultry, grains, fish, leafy green veggies, OJ, peanuts,
avocado)
Anorexia etiology Correct Answers Release of TNF and IL-1
from macrophages has appetite-suppressant effect.
Therapy-induced GI effects (mucositis, nausea, vomiting, bowel
problems) and anxiety reduce appetite.
, Anorexia nursing management Correct Answers • Monitor
weight.
• Encourage patient to eat small, frequent meals of high-protein,
high-calorie foods.
• Gently encourage patient to eat, but do not nag.
• Recommend keeping a food diary to track daily calories and
fluids.
• Serve food in pleasant environment.
Cardiotoxicity etiology Correct Answers Some chemotherapy
drugs (e.g., anthracyclines, taxanes) can cause ECG changes and
rapidly progressive heart failure.
Cardiotoxicity nursing management Correct Answers •
Monitor heart with ECG and cardiac ejection fractions.
• Drug therapy may need to be changed for symptoms or
deteriorating cardiac function studies.
• Administer antidysrhythmic drugs as ordered.
Chemotherapy-induced Skin Changes Correct Answers
Acneiform eruptions.
Acral erythema.
Hyperpigmentation.
Photosensitivity.
Telangiectasia.
Chemotherapy-induced skin changes nursing management
Correct Answers • Alert patient to potential skin changes.
• Encourage patient to avoid sun exposure.
