Prioritization, Delegation, and Assignment 4th Edition LaCharity: NCLEX® Test Bank | Complete Chapter 1-22 Practice Questions & Answers for Nursing Success

TEST BANK FOR PRIORITIZATION DELEGATION AND
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
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, Chapter 1. Pain
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, MULTIPLE CHOICE bb



1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
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attention. The nurse realizes this client understands that pain is important because it:
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1. is a protective system.
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2. includes the automatic withdrawal reflex. bb bb bb bb




3. creates sensitivity to pain. bb bb bb




4. helps with healing. bb bb




ANS: 1 bb



Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
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memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
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response, it does not explain why pain is important. Pain does not create sensitivity to pain.
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Pain does not help with healing.
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PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
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2.A client complains that the bed sheets touching his skin are extremely painful. The nurse
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realizes this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 bb



Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as
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very painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of
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body position. Modulation is an influencing factor in the perception of pain.
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PTS: 1 DIF: Analyze REF: Peripheral Nervous System
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3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing
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which type of pain?
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1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
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Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is
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pain that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
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, pathological pain are both types of pain that result from injury to a nerve or malfunction of the
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neuronal transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain bb bb



4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way
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for the nurse to describe this clients pain would be:
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1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 bb



Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset
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of mild to severe pain that lasts longer than 6 months. Referred pain is the result of
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the transfer of visceral pain sensations to a body surface at a distance from the actual
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origin. Neuropathic pain is paroxysmal pain that occurs along the branches of a
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b nerve.
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PTS:1DIF:ApplyREF:Types of Pain bb bb



5.A client is observed holding a pillow over the abdominal region with both knees flexed
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in a side-lying position. Vital signs assessment reveals an elevated blood pressure and
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heart rate. Which of the following should the nurse say to this client?
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1. Can I get you anything?
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2. Would you like something for pain? bb bb bb bb b b




3. You look comfortable. bb bb




4. Your blood pressure is up. bb bb bb b b




ANS: 2 bb



Sympathetic responses to pain include elevated blood pressure and heart rate. And since
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the client is hugging a pillow over the abdominal region with both knees flexed in a side-
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lying position, the best thing for the nurse to say to this client is Would you like
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something for pain? The other responses are incorrect because they do not
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acknowledge that the client is experiencing pain.
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PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
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6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like
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she received when she had a total knee replacement. Which of the following should the
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nurse respond to this client?
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1. You dont need something that strong.
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2. That medication does not exist anymore.
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3. That medication does not last very long.
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4. It can cause you have high blood pressure.
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