A client undergoing chemotherapy asks if all their hair will be lost. What should the nurse do first?

The most appropriate initial action for the nurse is to assess the client's understanding of adverse effects. This approach is essential because it helps to evaluate the client's current knowledge and concerns about the chemotherapy treatment they are undergoing. By understanding what the client already knows or believes, the nurse can provide tailored information and support that directly addresses the client's needs and worries.

Furthermore, assessing understanding allows the nurse to clarify any misconceptions and provide education about the likelihood and pattern of hair loss associated with chemotherapy. Hair loss can vary greatly among individuals based on factors such as the type of chemotherapy, dosage, and individual response. Therefore, this assessment guides the nurse in delivering accurate and supportive information, helping the client feel more informed and supported during their treatment journey.

Providing a wig brochure or emotional support are also important, but they are best addressed after ensuring that the client's understanding of their situation is clear. Additionally, offering reassurance about the variability of hair loss comes after determining what the client has already learned or any fears they might have regarding their treatment and its side effects. This strategy emphasizes the importance of patient-centered communication in nursing care.