Final Exam: NURS618/ NURS 618 (Latest 2024/ 2025 Update) Pathophysiology Review | Qs & As | 100% Correct (Verified Answers)- Southeastern Louisiana

Final Exam: NURS618/ NURS 618 (Latest 2024/ 2025 Update) Pathophysiology Review | Qs & As | 100% Correct (Verified Answers)- Southeastern Louisiana Q: A 25-year-old woman who works as an air-traffic controller presents with facial pain and severe headache. She reports that she sometimes feels the pain in her neck or ear and that it is particularly bad during very busy times at the airport. What is the most likely diagnosis? Answer: Temporomandibular joint syndrome Q: A 60-year-old male client with a long history of back pain has had little success with a variety of analgesic regimens that his family physician has prescribed. He has recently been diagnosed formally with a chronic pain disorder. Which of the following teaching points about chronic pain would his physician most likely emphasize to the client? Answer: "These pain signals your body is sending likely serve no real, useful, or protective function." Q: A nurse on a post-surgical unit is providing care for a 76-year-old female client who is 2 days post-hemiarthroplasty (hip replacement) and who states that her pain has been out of control for the last several hours, though she is not exhibiting signs of pain. Which of the following guidelines should the nurse use to guide short-term and longer-term treatment of the client's pain? Answer: Knowing that the client's self-report of pain is the most reliable indicator of pain. Q: Which of the following hospital patients is most likely to be diagnosed with complex regional pain syndrome II (CRPS II)? Answer: A man who has been admitted for treatment of continuing hyperalgesia after sustaining a nerve injury in a motor vehicle accident. Q: A clinician is providing care for an 84-year-old female resident of a long-term care facility with numerous health problems including osteoporosis, congestive heart failure, venous leg ulcers, and vascular dementia. Staff at the care facility note that the woman has been frequently complaining of back pain in recent weeks and intermittently groans. Which of the following factors is likely to complicate the clinician's assessment and treatment of the client's pain? Answer: Assessment and treatment are possibly complicated by the large number of drugs that the client receives. Q: A 60-year-old male office worker has presented to a clinic due to his recent lower back pain. Which of the following components of his assessment and history would be most indicative or a serious pathological process? Answer: His onset of pain has been gradual and he has no prior history of lower back problems. Q: A female client with bone metastases secondary to lung cancer is admitted for palliative radiation treatment and pain control. The client is presently experiencing pain that she rates at 9 out of 10. Which of the following non-pharmacological treatments is most likely to be a useful and appropriate supplement to pharmacological analgesia at this point? Answer: Relaxation and distraction Q: A nurse practitioner is assessing a 7-year-old boy who has been brought to the clinic by his mother, who is concerned about her son's increasingly frequent, severe headaches. Which of the nurse's following questions is least likely to yield data that will allow for a confirmation or ruling out of migraines as the cause of his problem? Answer: "Does your son have any food allergies that have been identified?" Q: A client on an acute medicine unit of a hospital with a diagnosis of small bowel obstruction is complaining of intense, diffuse pain in her abdomen. Which of the following physiological phenomena is most likely contributing to her complaint? Answer: Nociceptive afferents are conducting the sensation of pain along the cranial and spinal nerve pathways of the ANS. Q: A 9 year-old girl has a diffuse collection of symptoms that are indicative of deficits in endocrine and autonomic nervous system control, and she also suffers from persistent fluid and electrolyte imbalances. On which of the following aspects of the nervous system would her care providers focus their diagnostic efforts? Answer: Impaired function of her hypothalamus Q: A woman with severe visual and auditory deficits is able to identify individuals by running her fingers lightly over their face. Which of the following sources is most likely to provide the input that allows for the woman's unique ability