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 C

Explanation

Choice A reason: Osteoarthritis limits mobility; it doesn’t affect kidney function directly, so nephrotoxic drug clearance remains unchanged, not warranting a dose reduction.

Choice B reason: Diet impacts metabolism slightly; low protein may spare kidneys, but it doesn’t indicate impaired clearance requiring adjustment of nephrotoxic medication.

Choice C reason: Diabetic kidney disease with hypertension impairs filtration; reduced glomerular rate necessitates lower nephrotoxic doses to prevent further renal damage.

Choice D reason: Smoking affects lungs primarily; while it may indirectly harm kidneys, it’s less definitive than diabetic nephropathy for needing a reduced dose.

A. The patient uses four different pharmacies to fill his 16 prescriptions. B. The patient takes five different medications to treat hypertension. C. The patient’s daughter administers the patient’s eyedrops every evening. D. The patient has weekly laboratory tests for warfarin dosing. E. The patient is allergic to strawberries, latex, and penicillin antibiotics.

Correct Answer is ["A"]

Explanation

Choice A reason: Multiple pharmacies increase polypharmacy risk; 16 prescriptions across four sources raise chances of duplication or interactions, lacking centralized oversight.

Choice B reason: Five hypertension drugs signal polypharmacy; excessive medications for one condition heighten interaction risks, potentially causing adverse effects or toxicity.

Choice C reason: Daughter’s help with eyedrops aids compliance; this single-task assistance doesn’t inherently increase drug numbers or polypharmacy-related risks.

Choice D reason: Weekly warfarin tests monitor safety; this manages one drug’s effect, not indicating polypharmacy, but rather appropriate therapeutic oversight.

Choice E reason: Allergies affect drug choice, not quantity; this doesn’t contribute to polypharmacy, as it’s a sensitivity issue, not a medication count concern.

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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

The nurse is to administer a nephrotoxic medication to the patient. Which assessment finding indicates to the nurse that the patient should receive a reduced dosage of the drug?

Correct Answer is C

Explanation

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)

Correct Answer is ["A"]

Explanation

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