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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: A 12-degree angle is too shallow, increasing the risk of incorrect placement and ineffective administration of the intradermal injection.

Choice B reason: The 15-degree angle ensures precise intradermal placement, forming a wheal that indicates proper administration into the dermis for optimal absorption.

Choice C reason: A 30-degree angle places the medication too deep into subcutaneous tissue, compromising intended drug absorption.

Choice D reason: A 45-degree angle results in subcutaneous rather than intradermal injection, altering the drug’s effectiveness and purpose.

A. Inform the patient that the injection is complete. B. Assess the patient's level of comfort. C. Engage the safety sheath over the needle. D. Ensure that there is no bleeding at the injection site.

Correct Answer is C

Explanation

Choice A reason: Informing the patient is secondary; it addresses communication but not immediate safety risks like needlestick injury, which is a higher priority post-injection per occupational health standards.

Choice B reason: Assessing comfort is important but not urgent; pain evaluation can wait after securing the needle, as safety from sharps exposure outweighs immediate patient feedback in priority.

Choice C reason: Engaging the safety sheath prevents needlestick injuries; it’s the priority action to protect the nurse and others from bloodborne pathogens, aligning with universal precautions post-injection.

Choice D reason: Checking for bleeding is routine but not critical; minor oozing is common and manageable later, while needle safety is an immediate concern to prevent infection risks.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

Correct Answer is B

Explanation

Which is the priority action of the nurse immediately after administration of an intramuscular injection?

Correct Answer is C

Explanation

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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:

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