Prioritization Delegation and Assignment 4thEdition La Charity Nursing Test Bank.

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, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
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Chapterv1.vPainvMUL
TIPLEvCHOICE
1.Avclientvtellsvthevnursevthatvshevrarelyvexperiencesvpain,vbutvwhenvshevdoes,vshevseeksvmedicalvattenti
on.vThevnursevrealizesvthisvclientvunderstandsvthatvpainvisvimportantvbecausevit:


1. isvavprotectivevsystem.
2. includesvthevautomaticvwithdrawalvreflex.
3. createsvsensitivityvtovpain.
4. helpsvwithvhealing.
ANS:v1
Painvisvavprotectivevsystemvthatvincludesvprotectionvfromvunsafevbehaviorsvbyvusevofvreflexes,vme
mory,vandvavoidance.vEvenvthoughvthevautomaticvwithdrawalvreflexvisvavpartvofvthevpainvresponse,v
itvdoesvnotvexplainvwhyvpainvisvimportant.vPainvdoesvnotvcreatevsensitivityvtovpain.vPainvdoesvnotvhe
lpvwithvhealing.
PTS:v1vDIF:vAnalyzevREF:vDefinitionsvandvImplicationsvofvPain
2.Avclientvcomplainsvthatvthevbedvsheetsvtouchingvhisvskinvarevextremelyvpainful.vThevnursevrealiz
esvthisvclientvisvexperiencing:


1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS:v1
Allodyniavorvhyperalgesiavisvavstatevwherevavslightvorvnonpainfulvstimulusvisvinterpretedvasvveryvpai
nful.vKinesthesiavisvthevawarenessvofvmovement.vProprioceptionvisvthevawarenessvofvbodyvposition
.vModulationvisvanvinfluencingvfactorvinvthevperceptionvofvpain.
PTS:v1vDIF:vAnalyzevREF:vPeripheralvNervousvSystem
3.Avclientvisvcomplainingvofvseverevabdomenvpain.vThevnursevrealizesvthisvclientvisvexperiencingvwhichv
typevofvpain?


1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS:v4
Visceralvpainvisvpainvarisingvfromvthevbodyvorgansvorvgastrointestinalvtract.vSomaticvpainvisvpainvth
atvoriginatesvfromvthevbone,vjoints,vmuscles,vskin,vorvconnectivevpain.vNeuralgiavand



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,pathologicalvpainvarevbothvtypesvofvpainvthatvresultvfromvinjuryvtovavnervevorvmalfunctionvofvthevne
uronalvtransmissionvprocessvorvduevtovimpairedvregulation.
PTS:1DIF:AnalyzeREF:TypesvofvPain
4.Avclient,vdiagnosedvwithvacutevappendicitis,visvexperiencingvabdominalvpain.vThevbestvwayvforvthe
vnursevtovdescribevthisvclientsvpainvwouldvbe:




1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS:v4
Acutevpainvonsetvisvsuddenvandvofvshortvduration.vChronicvpainvisvavsuddenvorvslowvonsetvofvmildvto
vseverevpainvthatvlastsvlongervthanv6vmonths.vReferredvpainvisvthevresultvofvthevtransfervofvvisceralvp

ainvsensationsvtovavbodyvsurfacevatvavdistancevfromvthevactualvorigin.vNeuropathicvpainvisvparoxys
malvpainvthatvoccursvalongvthevbranchesvofvavnerve.
PTS:1DIF:ApplyREF:TypesvofvPain
5.Avclientvisvobservedvholdingvavpillowvovervthevabdominalvregionvwithvbothvkneesvflexedvinvavs
ide-
lyingvposition.vVitalvsignsvassessmentvrevealsvanvelevatedvbloodvpressurevandvheartvrate.vWhich
vofvthe vfollowingvshouldvthevnursevsayvtovthisvclient?




1. CanvIvgetvyouvanything?
2. Wouldvyouvlikevsomethingvforvpain?
3. Youvlookvcomfortable.
4. Yourvbloodvpressurevisvup.
ANS:v2
Sympatheticvresponsesvtovpainvincludevelevatedvbloodvpressurevandvheartvrate.vAndvsincevthevclient
visvhuggingvavpillowvovervthevabdominalvregionvwithvbothvkneesvflexedvinvavside-

lyingvposition,vthevbestvthingvforvthevnursevtovsayvtovthisvclientvisvWouldvyouvlikevsomethingvforvpain
?vThevothervresponsesvarevincorrectvbecausevtheyvdovnotvacknowledgevthatvthevclientvisvexperiencin
gvpain.
PTS:v1vDIF:vApplyvREF:vAssessingvthevClinicalvManifestationsvofvPain
6.AvclientvexperiencingvchronicvpainvasksvthevnursevwhyvshevisvnotvprescribedvDemerolvlikevshevre
ceivedvwhenvshevhadvavtotalvkneevreplacement.vWhichvofvthevfollowingvshouldvthevnursevrespondv
tovthisvclient?


1. Youvdontvneedvsomethingvthatvstrong.
2. Thatvmedicationvdoesvnotvexistvanymore.
3. Thatvmedicationvdoesvnotvlastvveryvlong.
4. Itvcanvcausevyouvhavevhighvbloodvpressure.


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, ANS:v3
Meperidinevisvnovlongervavmajorvdrugvforvacutevorvchronicvpainvduevtovitsvshortvanalgesicvdurationvof
v2vtov3vhoursvandvthevpotentialvforvaccumulativevtoxicveffectsvofvitsvmetabolite,vnormeperidine.vThev

bestvresponsevforvthevnursevtovmakevtovthevclientvwouldvbevthatvmedicationvdoesvnotvlastvveryvlong.v
Thevothervresponsesvarevinaccurate.
PTS:1DIF:ApplyREF:Opioidv Analgesics
7.Avclientvisvinformedvthatvavtricyclicvantidepressantvmedicationvisvgoingvtovhelpvcontrolvhisvchron
icvpain.vThevnursevwouldvexpectvthevphysicianvtovprescribe:


1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS:v1
Amitriptylinevisvanvantidepressant.vGabapentinvisvanvanticonvulsant.vBaclofenvisvavmusclevrelaxan
t.vDiazepamvisvavbenzodiazepine.
PTS:v1vDIF:vAnalyzevREF:vAdjuvantvMedications
8.Avclientvreceivingvaround-the-
clockvmedicationvforvterminalvcancervexperiencesvadditionalvpainvwhenvperformingvactivitiesvofvdailyvl
iving.vThevnursevrealizesvthisvclientvisvexperiencing:


1. breakthroughvpain.
2. intractablevpain.
3. psychosomaticvpain.
4. acutevpain.
ANS:v1
Breakthroughvpainvisvcommonlyvseenvinvthevadvancedvstagesvofvcancer.vItvisvspontaneous,vunpredict
able,vandvcanvbevinitiatedvbyvcertainvactivitiesvsuchvasvduringvactivitiesvofvdailyvliving.vIntractablevp
ainvisvresistantvtovsomevorvallvformsvofvtherapy.vPsychosomaticvpainvisvthatvwhichvhasvavpsychologic
alvorigin.vThevclientvisvdiagnosedvwithvterminalvcancer.vAcutevpainvhasvavsuddenvonsetvandvresolvesv
withinv6vmonths.
PTS:1DIF:AnalyzeREF:BreakthroughvPain
9.Avclientvrecoveringvfromvsurgeryvtellsvthevnursevthatvshevisvnauseatedvandvisvexperiencingvanvinc
reasevinvpain.vWhichvofvthevfollowingvdoesvthisvclientsvsymptomsvsuggestvtovthevnurse?


1 Thevclientvisvbecomingvdependentvuponvthevpainvmedication.
.
2 Thevclientsvpainvthresholdvisvlowervwhenvexperiencingvnausea.
.
3 Thevclientvisvexperiencingvwithdrawalvsymptomsvfromvpainvmedication.
.

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