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: Allergic reactions are adverse drug effects, not necessarily medication errors. Documentation of allergies before administration prevents such events.

Choice B reason: Administering a double dose results directly from improper preparation, constituting a clear medication error requiring immediate reporting and corrective action.

Choice C reason: Patient refusal is not a medication error but a decision. Nurses must document refusals and provide education on medication importance.

Choice D reason: Persistent pain indicates ineffective medication, which is an issue of treatment efficacy, not an error in administration.

A. 610 mL B. 710 mL C. 810 mL D. 910 mL

Correct Answer is B

Explanation

Choice A reason: 610 mL omits ice cream (120 mL); total is 120 + 120 + 260 + 90 + 120 = 710 mL; this undercalculation misses a key liquid intake component.

Choice B reason: 710 mL sums all: 120 (juice) + 120 (milk) + 260 (coffee) + 90 (ice pop) + 120 (ice cream); melted solids count as fluid, matching clinical standards.

Choice C reason: 810 mL overestimates; no additional fluids are listed beyond 710 mL; this error likely adds non-existent intake, skewing the total inaccurately.

Choice D reason: 910 mL vastly exceeds reality; it may double-count or invent fluids; only 710 mL is supported by the listed consumption data provided.

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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 reviewing medication errors. Which situation is an example of a medication error?

Correct Answer is B

Explanation

A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner. Calculate the intake for the 6 AM to 6 PM shift.

Correct Answer is B

Explanation

A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

A primary health-care provider prescribes a medication that must be administered transdermal. Which information about the route of administration does the nurse understand is related to a drug prescribed to be administered transdermal?

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

An arthritic patient will be discharged home with a variety of medications. The best way for the home health nurse to assist the patient who lives alone in taking his medications is to:

The nurse explains to a client that the drug administration of a medication is to be placed between the gum and jaw. By which route is the nurse administering this medication?

Why does the nurse administer lorazepam intramuscularly (IM) to the patient rather than into the subcutaneous tissue?

A nurse is preparing to administer a tablet to the patient. When should the nurse remove the medication from its unit dose package?

When administering medications, a nurse must know a client's medical history and pharmacokinetics of prescribed medications because most drugs are metabolized in the: