Prioritization Delegation and Assignment 4th Edition LaCharity Nursing Test Bank

Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank Chapter 1. Pain MULTIPLE CHOICE 1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical attention. The nurse realizes this client understands that pain is important because it: 1. is a protective system. 2. includes the automatic withdrawal reflex. 3. creates sensitivity to pain. 4. helps with healing. PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain 2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realizes this client is experiencing: 1. allodynia. 2. modulation. 3. kinesthesia. 4. proprioception. 3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing which type of pain? 1. Neuralgia 2. Pathological 3. Somatic 4. Visceral 4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the nurse to describe this clients pain would be: 1. chronic. 2. neuropathic. 3. referred. 4. acute. 5.A client is observed holding a pillow over the abdominal region with both knees flexed in a side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Which of the following should the nurse say to this client? 1. Can I get you anything? 2. Would you like something for pain? 3. You look comfortable. 4. Your blood pressure is up. 6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she received when she had a total knee replacement. Which of the following should the nurse respond to this client? 1. You dont need something that strong. 2. That medication does not exist anymore. 3. That medication does not last very long. 4. It can cause you have high blood pressure. 7.A client is informed that a tricyclic antidepressant medication is going to help control his chronic pain. The nurse would expect the physician to prescribe: 1. Amitriptyline. 2. Baclofen. 3. Gabapentin. 4. Diazepam. 8.A client receiving around-the-clock medication for terminal cancer experiences additional pain when performing activities of daily living. The nurse realizes this client is experiencing: 1. breakthrough pain. 2. intractable pain. 3. psychosomatic pain. 4. acute pain. 9.A client recovering from surgery tells the nurse that she is nauseated and is experiencing an increase in pain. Which of the following does this clients symptoms suggest to the nurse? 1 . The client is becoming dependent upon the pain medication. 2 . The clients pain threshold is lower when experiencing nausea. 3 . The client is experiencing withdrawal symptoms from pain medication. 4 The client is experiencing referred pain. . 10.A client with a history of malingering pain tells the nurse that he needs a prescription for pain medication. Which of the following should the nurse do first to assist this client? 1 . Ask the physician for a pain medication prescription for the client. 2 . Remind the client that he does not have pain but just wants the medication. 3 . Thoroughly assess the client for pain. 4 . Suggest the client seek counseling for his pain medication-seeking behavior. 11.The nurse is implementing the five Cs of pain management for a client. Which of the following is included in this intervention? 1 . Caring for the client in a holistic manner 2 . Creating a calm environment 3 . Comparing the degree of pain reported with previous episodes 4 . Continuously assessing the clients pain 12.A client, diagnosed with arthritis, should be instructed to avoid the use of NSAIDs because of which of the following prescribed medications? 1. Penicillin 2. Coumadin 3. Digoxin 4. Diazide MULTIPLE RESPONSE 1. Prior to hospitalization, a client had been ingesting high doses of oxycodone. The nurse suspects the client is experiencing symptoms of withdrawal when which of the following are assessed? (Select all that apply.) 1. Muscle twitching and spasms 2. Restlessness 3. Increased heart rate 4. Drop in blood pressure 5. Increase in blood pressure 6. Irritability 2. The nurse would be concerned that a client is at risk for developing chronic pain when which of the following health problems are diagnosed? (Select all that apply.) 1. Osteoarthritis 2. Osteoporosis 3. Heart disease 4. Diabetes mellitus 5. Chronic pulmonary disease 6. Anemia 3. An 84-year-old client is experiencing severe arthritis pain. The nurse realizes that which of the following pain management approaches would be the most beneficial for this client? (Select all that apply.) 1. Avoid NSAIDs. 2. Utilize morphine or morphine-like medication. 3. Provide medication through the oral route. 4. Utilize diazepam. 5. Suggest Darvocet. 6. Provide medication through the intramuscular route. .................................................continued,................................................