Test Bank Prioritization, Delegation,
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andAssignment 4th Edition.
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Prioritization Delegation and Assignment 4th bg bg bg bg
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prioritization, delegation, and patient bg bg bg bg
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TABLE OF CONTENTS
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Guidelines for Prioritization, Delegation, and Assignment Decisions
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1. Pain
2. Cancer
3. Immunologic Problems bg
4. Fluid, Electrolyte, and Acid-Base Balance Problems
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5. Safety and Infection Control
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6. Respiratory Problems bg
7. Cardiovascular Problems bg
8. Hematologic Problems bg
9. Neurologic Problems bg
10. Visual and Auditory Problems
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11. Musculoskeletal Problems bg
12. Gastrointestinal and Nutritional Problems bg bg bg
13. Diabetes Mellitus bg
14. Other Endocrine Problems
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15. Integumentary Problems bg
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,16. Renal and Urinary Problems
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17. Reproductive Problems bg
18. Problems in Pregnancy and Childbearing
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19. Pediatric Problems
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20. Pharmacology NEW! bg
21. Emergencies and Disasters bg bg
22. Psychiatric–Mental Health Problems bg bg
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank bg bg bg bg bg bg bg bg
Chapter 1. Pain bg bg
MULTIPLE CHOICE
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1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks
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medicalattention. The nurse realizes this client understands that pain is important because it:
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1. is a protective system.
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2. includes the automatic withdrawal reflex. bg bg bg bg
3. creates sensitivity to pain. bg bg bg
4. helps with healing. bg bg
ANS: 1 bg
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
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memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
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response, it does not explain why pain is important. Pain does not create sensitivity to pain. Paindoes
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not help with healing.
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PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
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2.A client complains that the bed sheets touching his skin are extremely painful. The
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nurserealizes this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
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Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as verypainful.
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Kinesthesia is the awareness of movement. Proprioception is the awareness of body position.
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Modulation is an influencing factor in the perception of pain.
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PTS: 1 DIF: Analyze REF: Peripheral Nervous System
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3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencingwhich
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type of pain?
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1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
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Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is painthat
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originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
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pathological pain are both types of pain that result from injury to a nerve or malfunction of theneuronal
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transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain bg bg
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way forthe
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nurse to describe this clients pain would be:
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1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 bg
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mildto
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severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral
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pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is
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paroxysmal pain that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain bg bg
5.A client is observed holding a pillow over the abdominal region with both knees flexed in
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aside-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
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Which of the following should the nurse say to this client?
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1. Can I get you anything? bg bg bg bg
2. Would you like something for pain? bg bg bg bg bg
3. You look comfortable. bg bg
4. Your blood pressure is up. bg bg bg bg
ANS: 2 bg
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the client
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is hugging a pillow over the abdominal region with both knees flexed in a side-lying position, the
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best thing for the nurse to say to this client is Would you like something for pain? The other
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responses are incorrect because they do not acknowledge that the client is experiencingpain.
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PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
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6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like
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shereceived when she had a total knee replacement. Which of the following should the nurse
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respond to this client?
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1. You dont need something that strong.bg bg bg bg bg
2. That medication does not exist anymore.
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3. That medication does not last very long.
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4. It can cause you have high blood pressure.
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