Test Bank for Prioritization Delegation and Assignment 5th Edition LaCharity, Kumagai, and Hosler

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TABLE OF CONTENTS
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Guidelines for Prioritization, Delegation, and Assignment Decisions
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1. Pain
2. Cancer
3. Immunologic Problems wi

4. Fluid, Electrolyte, and Acid-Base Balance Problems
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5. Safety and Infection Control
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6. Respiratory Problems wi


7. Cardiovascular Problems wi


8. Hematologic Problems wi

9. Neurologic Problems wi

10. Visual and Auditory Problems
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11. Musculoskeletal Problems wi

12. Gastrointestinal and Nutritional Problems wi wi wi


13. Diabetes Mellitus
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14. Other Endocrine Problems
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15. Integumentary Problems wi

16. Renal and Urinary Problems
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17. Reproductive Problems wi


18. Problems in Pregnancy and Childbearing
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19. Pediatric Problems
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20. Pharmacology NEW! wi

21. Emergencies and Disasters wi wi

22. Psychiatric–Mental Health Problems wi wi

, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank
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Chapter 1. Pain MUL wi wi wi


TIPLE CHOICE wi


1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical at
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tention. 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.
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3. creates sensitivity to pain. wi wi wi




4. helps with healing. wi wi



ANS: 1 wi


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 re
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sponse, it does not explain why pain is important. Pain does not create sensitivity to pain. Pai
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n 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 re
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alizes this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
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Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as ver
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y painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of bod
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y 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 w
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hich 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 pai
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n 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 n
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euronal transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain wi wi


4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way f
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or the nurse to describe this clients pain would be:
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1. chronic.
2. neuropathic.
3. referred.
4. acute.
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Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of
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mild to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer
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of visceral pain sensations to a body surface at a distance from the actual origin. Neuropathi
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c pain is paroxysmal pain that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain wi wi


5.A client is observed holding a pillow over the abdominal region with both knees flexed i
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n a side-
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lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
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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? wi wi wi wi wi




3. You look comfortable.wi wi




4. Your blood pressure is up.wi wi wi wi



ANS: 2 wi


Sympathetic responses to pain include elevated blood pressure and heart rate. And since the c
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lient 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 something f
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or pain? The other responses are incorrect because they do not acknowledge that the client is e
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xperiencing pain. wi


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 sh
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e received when she had a total knee replacement. Which of the following should the nurse r
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espond to this client? wi wi wi




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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