PRIORITIZATION DELEGATION AND ASSIGNMENT 4TH EDITION LACHARITY TEST BANK 9780323498289 Practice Exercises for the NCLEX Examination (With A New Update) 2024.pdf

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Prioritization Delegation and Assignment 4
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Prioritization Delegation and Assignment
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Chapterm1.mPain mMULTIPLEmCHOICE
1.Amclientmtellsmthemnursemthatmshemrarely mexperiencesmpain,mbutmwhen mshemdoes,mshemseeksmmedicalmat
tention.mThemnursemrealizesmthismclientmunderstandsmthatmpain mismimportantmbecause mit:


1. ismamprotective msystem.
2. includesmthemautomatic mwithdrawalmreflex.
3. createsmsensitivity mto mpain.
4. helpsmwith mhealing.
ANS:m1
Pain mismamprotective msystem mthatmincludesmprotection mfrommunsafe mbehaviorsmbymusemofmreflexes,m
memory,mand mavoidance.mEven mthough mthemautomatic mwithdrawalmreflex mismampartmofmthempain mre
sponse,mitmdoesmnotmexplain mwhy mpain mismimportant.mPain mdoesmnotmcreatemsensitivity mto mpain.mPai
n mdoesmnotmhelp mwith mhealing.
PTS:m1 mDIF:mAnalyze mREF:mDefinitionsmand mImplicationsmof mPain
2.Amclientmcomplainsmthatmthembed msheetsmtouchingmhismskin maremextremely mpainful.mThemnursemr
ealizesmthismclientmismexperiencing:


1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:m1
Allodynia mormhyperalgesia mismamstatemwhere mamslightmormnonpainfulmstimulusmisminterpreted masmver
y mpainful.mKinesthesia mismthemawarenessmof mmovement.mProprioception mismthemawarenessmofmbody
mposition. mModulation misman minfluencingmfactormin mthe mperception mof mpain.

PTS:m1 mDIF:mAnalyze mREF:mPeripheralmNervousmSystem
3.Amclientmismcomplainingmof msevere mabdomen mpain.mThemnursemrealizesmthismclientmismexperiencingmw
hich mtypemof mpain?

1. NEURALGIA
2. PATHOLOGICAL

,Prioritization mDelegation mand mAssignmentm4th mEdition mLaCharity mTestmBank(LATESTmUPDATE)




3. SOMATIC
4 VISCERAL
.
ANS:m4
Visceralmpain mismpain marisingmfrommthembody morgansmormgastrointestinalmtract.mSomaticmpain mismpa
in mthatmoriginatesmfrommthembone,mjoints,mmuscles,mskin,mormconnective mpain.mNeuralgia mand

,Prioritization mDelegation mand mAssignmentm4th mEdition mLaCharity mTestmBank(LATESTmUPDATE)




pathologicalmpain maremboth mtypesmof mpain mthatmresultmfromminjury mto mamnervemormmalfunction mofm
themneuronalmtransmission mprocessmormduemto mimpaired mregulation.
PTS:1DIF:AnalyzeREF:Types mof mPain
4.Amclient,mdiagnosed mwith macutemappendicitis, mismexperiencingmabdominalmpain.mThembestmway mfo
rmthemnursemto mdescribe mthismclientsmpain mwould mbe:


1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:m4
Acutempain monsetmismsudden mand mofmshortmduration.mChronicmpain mismamsudden mormslowmonsetmof m
mild mto msevere mpain mthatmlastsmlongermthan m6 mmonths.mReferred mpain mismthemresultmof mthemtransferm
of mvisceralmpain msensationsmto mambody msurfacematmamdistance mfrommthemactualmorigin.mNeuropathic
mpain mismparoxysmalmpain mthatmoccurs malongmthe mbranches mof ma mnerve.

PTS:1DIF:ApplyREF:Types mof mPain
5.Amclientmismobserved mholdingmampillowmovermthemabdominalmregion mwith mboth mkneesmflexedmi
n mamside-
lyingmposition.mVitalmsignsmassessmentmrevealsman melevated mblood mpressure mand mheartmrate.mW
hich mof mthemfollowingmshould mthemnursemsay mto mthismclient?


1. Can mImgetmyou manything?
2. Would myou mlikemsomethingmformpain?
3. You mlook mcomfortable.
4. Yourmblood mpressure mismup.
ANS:m2
Sympathetic mresponsesmto mpain minclude melevated mblood mpressure mand mheartmrate.mAnd msincemthemcl
ientmismhuggingmampillowmovermthemabdominalmregion mwith mboth mkneesmflexed min mamside-
lyingmposition,mthembestmthingmformthemnurse mto msay mto mthismclientmismWould myou mlikemsomethingmfo
rmpain?mThemothermresponsesmaremincorrectmbecause mthey mdo mnotmacknowledge mthatmthemclientmisme
xperiencingmpain.
PTS:m1 mDIF:mApply mREF:mAssessingmthemClinicalmManifestationsmof mPain
6.Amclientmexperiencingmchronic mpain masksmthemnurse mwhy mshemismnotmprescribed mDemerolmlikem
shemreceived mwhen mshemhad mamtotalmkneemreplacement.mWhich mofmthemfollowingmshould mthemnurs
emrespond mto mthismclient?


1. You mdontmneed msomethingmthatmstrong.
2. Thatmmedication mdoesmnotmexistmanymore.
3. Thatmmedication mdoesmnotmlastmvery mlong.

, Prioritization mDelegation mand mAssignmentm4th mEdition mLaCharity mTestmBank(LATESTmUPDATE)




4. Itmcan mcausemyou mhavemhigh mblood mpressure.