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 B

Explanation

Rationale:

A. Report the pump has a frayed cord and proceed with the infusion: Using a pump with a frayed cord is unsafe and poses a risk of electrical shock or malfunction. The pump should not be used until it is repaired or replaced, so proceeding with the infusion is inappropriate.

B. Check the expiration date on the safety inspection sticker of the pump: Verifying that the infusion pump has a current safety inspection ensures that the device has been tested and is functioning properly. This action is essential to prevent mechanical failure and maintain patient safety during IV therapy.

C. Obtain a surge protector that can accommodate the pump and several other appliances: Infusion pumps should be plugged directly into a properly grounded outlet to ensure consistent power and prevent electrical hazards. Connecting multiple devices through a surge protector can overload the circuit and compromise pump function.

D. Verify that the extension cord for the pump is ungrounded: Using an ungrounded extension cord increases the risk of electrical shock and device malfunction. Only properly grounded outlets and cords should be used with infusion pumps to maintain safety.

A. Assign the AP to ask the client if she has taken her antidiabetic medication today B. Determine if the AP has the skills to perform the test. C. Have the AP check the medical record for prior blood glucose test results. D. Help the AP perform the blood glucose test.

Correct Answer is B

Explanation

Rationale:

A. Assign the AP to ask the client if she has taken her antidiabetic medication today: Asking about medication adherence is part of assessment and requires clinical judgment. Delegating this task to an AP is inappropriate because it involves interpreting client responses and making clinical decisions.

B. Determine if the AP has the skills to perform the test: Before delegating any task, the nurse must verify that the AP is competent and trained to perform the procedure safely. Ensuring skill competency protects the client from harm and aligns with the nurse’s responsibility for delegation.

C. Have the AP check the medical record for prior blood glucose test results: Reviewing medical records and interpreting trends involves clinical judgment and falls outside the typical scope of practice for an AP. This task should remain with the licensed nurse.

D. Help the AP perform the blood glucose test: Assisting the AP is not necessary if the AP is competent and has been properly trained. The nurse’s role is to delegate appropriately, supervise as needed, and ensure safe completion, rather than performing the task alongside the AP.

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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

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Correct Answer is B

Explanation

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