A nurse is teaching a client who has migraine headaches how to use biofeedback to reduce the need for pharmacological interventions. Which of the fallowing information should the nurse include in the teaching?

"Biofeedback requires concentration to control physiological responses."

“Biofeedback improves energy flow through soft tissue manipulation to increase circulation."

"Biofeedback uses herbs to reduce inflammation"

“Biofeedback stimulates certain pressure points to relax muscles"

Answer and Explanation

The Correct Answer is A

Rationale:

A. "Biofeedback requires concentration to control physiological responses.": Biofeedback is a technique that helps clients gain voluntary control over involuntary bodily functions, such as muscle tension, heart rate, or skin temperature. Through focused concentration and real-time feedback from monitoring devices, clients learn to reduce stress and prevent migraine triggers.

B. “Biofeedback improves energy flow through soft tissue manipulation to increase circulation.": This description aligns more with massage or energy-based therapies, not biofeedback. Biofeedback does not involve physical manipulation of tissues but relies on monitoring and controlling physiological responses through mental focus.

C. "Biofeedback uses herbs to reduce inflammation": Herbal therapy is a complementary approach unrelated to biofeedback. Biofeedback does not incorporate herbal remedies and instead emphasizes self-regulation techniques using bio-monitoring equipment.

D. “Biofeedback stimulates certain pressure points to relax muscles": Stimulating pressure points is characteristic of acupressure or acupuncture, not biofeedback. While muscle relaxation is a goal of biofeedback, it is achieved through self-regulation and feedback, not external stimulation.

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Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}

Explanation

Rationale for correct choices

• Hypoglycemia: The newborn’s birth weight is 4200 g (9 lb 4 oz), indicating macrosomia. Infants of this size, especially after cesarean delivery, are at increased risk for hypoglycemia due to potential neonatal hyperinsulinemia. Early identification and monitoring of blood glucose are essential to prevent neurodevelopmental complications.

• Tachypnea of the newborn: The newborn demonstrates increasing respiratory rates (68 → 76/min) with grunting and mild intercostal retractions. These signs indicate transient tachypnea of the newborn, commonly seen after cesarean birth due to delayed clearance of fetal lung fluid. Continuous respiratory monitoring and supportive care are required to prevent hypoxemia or respiratory distress.

Rationale for incorrect choices

• Tachycardia: Although the newborn’s heart rate is slightly on the higher end of normal (154–156/min), it remains within the normal range for a newborn (120–160/min). This is not currently indicative of a pathologic condition or immediate risk.

• Bronchopulmonary dysplasia: Bronchopulmonary dysplasia typically occurs in premature infants who require prolonged mechanical ventilation or oxygen therapy. This term does not apply to a full-term newborn with transient tachypnea following cesarean birth.

A. Administer a continuous infusion of calcium gluconate B. Place the client in the semi-Fowler's position. C. Ensure bright lighting in the room. D. Initiate seizure precautions.

Correct Answer is D

Explanation

Rationale:

A. Administer a continuous infusion of calcium gluconate: Calcium gluconate is not used for the management of preeclampsia or seizure prophylaxis. Magnesium sulfate is the medication of choice to prevent eclamptic seizures in clients with severe preeclampsia.

B. Place the client in the semi-Fowler's position: Semi-Fowler’s position does not optimize uteroplacental perfusion. Left lateral positioning is preferred to enhance blood flow to the uterus and improve maternal and fetal oxygenation.

C. Ensure bright lighting in the room: Bright lighting can increase stimulation and anxiety, which is not beneficial for a client at risk for seizures. A calm, low-stimulation environment is preferable to minimize seizure triggers.

D. Initiate seizure precautions: Clients with preeclampsia with severe features are at high risk for eclampsia, making seizure precautions essential. These include placing the bed in a low position, padding side rails, having oxygen and suction available, and monitoring closely for neurologic changes.

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A nurse is teaching a client who has migraine headaches how to use biofeedback to reduce the need for pharmacological interventions. Which of the fallowing information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown and dropdown

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}

Explanation

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Correct Answer is D

Explanation

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