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

Prioritization n Delegation n and n Assignmentn 4th n Edition n LaCharity n Testn Bank(LATESTn UPDATE)




th n


Prioritization Delegation and Assignment 4
n n n n Edi
tionLaCharity Nursing Test Bank.
n n n n




Prioritization Delegation and Assignment
n n n n


Chaptern 1.n Pain n MULTIPLEn CHOICE
1.An clientn tellsn then nursenthatnshenrarely nexperiencesn pain,nbutnwhen nshen does,nshen seeksn medicalnattenti
on.n Then nursen realizesn thisn clientn understandsn thatn pain n isn importantn because n it:


1. isn an protective n system.
2. includesn then automatic n withdrawaln reflex.
3. createsn sensitivity n to n pain.
4. helpsn with n healing.
ANS:n 1
Pain n isn an protective n system nthatnincludesn protection nfromnunsafen behaviorsn by n usen of n reflexes,n me
mory,n and n avoidance.nEven nthough nthenautomatic n withdrawalnreflex n isnanpartnofn then pain nresponse,n
itn doesn notn explain n why npain nisn important.n Pain ndoesn notn createn sensitivity n to npain.n Pain nd oesnnotnhe
lp n with n healing.
PTS:n 1 n DIF:n Analyze n REF:n Definitionsn and n Implicationsn of n Pain
2.An clientn complainsn thatn thenbedn sheetsntouchingn hisn skin n aren extremely npainful.nThennursenrealiz
esn thisn clientn isn experiencing:


1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:n 1
Allodynia n orn hyperalgesia n isnanstaten wheren an slightn ornnonpainfulnstimulusnisn interpretedn asnvery np ai
nful.n Kinesthesia n isnthenawarenessn of nmovement.n Proprioception nisn thenawarenessnofnbody n position
.n Modulation n isn an n influencingn factorn in n then perception n of n pain.
PTS:n 1 n DIF:n Analyze n REF:n Peripheraln Nervousn System
3.An clientn isn complainingn ofnseveren abdomen npain.n Thennursenrealizesn thisnclientn isnexperiencingnwhichn
typen of n pain?

1. NEURALGIA
2. PATHOLOGICAL

,Prioritization n Delegation n and n Assignmentn 4th n Edition n LaCharity n Testn Bank(LATESTn UPDATE)




3. SOMATIC
4 VISCERAL
.
ANS:n 4
Visceraln pain n isn pain n arisingn fromn then body norgansnorngastrointestinaln tract.n Somaticnpain nisn pain nth
atn originatesn fromn then bone,n joints,n muscles,n skin,n orn connective n pain.n Neuralgia n and

,Prioritization n Delegation n and n Assignmentn 4th n Edition n LaCharity n Testn Bank(LATESTn UPDATE)




pathologicaln pain n aren both n typesnofnpain nthatnresultn fromninjury nto nannervenornmalfunction nofn thenne
uronaln transmission n processn orn duen to n impaired n regulation.
PTS:1DIF:AnalyzeREF:Types n of n Pain
4.An client,n diagnosed n with nacutenappendicitis,n isn experiencingn abdominaln pain.nThenbestnway nfornthe
n nurse n to n describe n this n clients n pain n would n be:




1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:n 4
Acuten pain n onsetnisn suddenn and nofnshortnduration.n Chronicnpain nisn ansuddenn orn slownonsetn ofnmildnto
n severe n pain n thatn lastsn longern thann 6n months. nReferred npain nisnthe n resultn ofnthe ntransfernofn visceralnp

ain n sensationsn to n anbody nsurfacen atn andistancen fromn thenactualn origin.n Neuropathic n pain n isn paroxys
maln pain n thatn occursn alongn then branchesn of n an nerve.
PTS:1DIF:ApplyREF:Types n of n Pain
5.An clientn isn observedn holdingn anpillown overnthenabdominalnregion n with nboth nkneesnflexed nin n ans
ide-
lyingn position.n Vitaln signsn assessmentn revealsn an nelevated nblood npressure n and nheartn rate.nWhich
n of n the n followingn should n the n nurse n say n to n thisn client?




1. Can n In getn you n anything?
2. Would n you n liken somethingn forn pain?
3. You n look n comfortable.
4. Yourn blood n pressure n isn up.
ANS:n 2
Sympathetic n responsesn to n pain n includen elevated n bloodn pressure n and nheartn rate.nAnd nsincenthenclient
n isn huggingn a n pillow n overn the n abdominaln region n with n both n knees n flexed n in n a n side-

lyingn position,n then bestn thingn forn thennursento n say nto n thisnclientn isnWould nyoun likensomethingn fornpain
?n Then othern responsesnarenincorrectnbecause ntheyn do nnotnacknowledge n thatn then clientn isn experiencin
gnp ain.
PTS:n 1 n DIF:n Apply n REF:n Assessingn then Clinicaln Manifestationsn of n Pain
6.An clientn experiencingn chronicnpain nasksn then nursenwhy nshenisnnotnprescribedn Demeroln likenshenre
ceived n when n shen had nantotaln kneenreplacement.nWhich n ofn then followingn should nthennursen respondn
to n thisn client?


1. You n dontn need n somethingn thatn strong.
2. Thatn medication n doesn notn existn anymore.
3. Thatn medication n doesn notn lastn very n long.

, Prioritization n Delegation n and n Assignmentn 4th n Edition n LaCharity n Testn Bank(LATESTn UPDATE)




4. Itn can n causen you n haven high n blood n pressure.