A patient is scheduled to have biofeedback therapy for migraine headaches. On arrival to the clinic, the patient appears anxious and fearful and tells the nurse that she does not want electric shocks. The most reassuring response by the nurse is:
"You seem too anxious for this procedure. Let's reschedule it at another time."
"Didn't the doctor explain this procedure to you?"
"There are no electrical shocks involved; the doctor is looking at your body's activity."
"Don't worry; this will not hurt a bit."
The Correct Answer is C
Choice A reason: Rescheduling dismisses the patient’s fear; it delays therapy without addressing misconceptions, missing a chance to educate and proceed with migraine relief.
Choice B reason: Questioning prior explanation may shame the patient; it doesn’t clarify biofeedback’s non-invasive nature, failing to reduce anxiety about shocks.
Choice C reason: Explaining no shocks and describing biofeedback as monitoring reassures scientifically; it corrects fears, aligning with its role in stress-related migraine management.
Choice D reason: Vague reassurance lacks specificity; without addressing shocks, it’s less effective, as patients need clear, factual dispelling of their expressed concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Alcohol and hepatitis C impair liver function; acetaminophen’s metabolite NAPQI accumulates, causing hepatotoxicity in an already compromised organ.
Choice B reason: COPD and smoking affect lungs, not liver; acetaminophen metabolism is minimally impacted, posing lower hepatic risk compared to liver disease states.
Choice C reason: Renal disease affects drug excretion, not liver metabolism; acetaminophen’s hepatic load is unchanged, making liver damage less likely here.
Choice D reason: Prostate issues involve urinary tract; liver metabolism of acetaminophen remains intact, with no heightened risk of hepatotoxicity from this condition.
Correct Answer is B
Explanation
Choice A reason: 1 mL gives 50 mg; this underdoses the 75 mg order, reducing Vistaril’s sedative effect, risking inadequate anxiety relief for the patient.
Choice B reason: 1.5 mL is correct; 75 mg divided by 50 mg/mL equals 1.5 mL, delivering the precise IM dose for effective anxiolytic action safely.
Choice C reason: 2 mL provides 100 mg; this overdoses Vistaril, risking excessive sedation or hypotension, exceeding the ordered therapeutic amount unnecessarily.
Choice D reason: 2.5 mL yields 125 mg; this far exceeds 75 mg, amplifying side effects like drowsiness or respiratory depression, unsafe for anxiety management.
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