NCLEX-RN

Category - Pharmacological

A client is administered intravenous vincristine (Oncovin). The client asks the nurse if she is going to lose her hair just the same way she has seen on television. The nurse’s best response is:
  1. “You have to talk to your physician about that.”
  2. “You are not going to lose your hair.”
  3. “You can lose your hair during the therapy, but it will grow back. The new returning hair could have a different texture or color.”
  4. “You can lose your hair during the therapy, but it will grow back. The new returning hair will immediately grow back just the same as it is now.”
Explanation
Answer: C - Alopecia can occur following the administration of antineoplastic medication, but after the completion of chemotherapy, the hair usually grows back. The new returning hair can have a finer texture or a different color, due to the absence of pigments. As the pigments return to normal, the hair’s original color should return. It may take a year before adequate hair growth occurs. Chemotherapeutic drugs mainly attack the rapidly growing cells in the body, including those in the hair roots.
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