c c c c c cc
nment 4th Edition LaCharity Chapter 1-
c c c c c
22 Complete Guide
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TestcBankcPrioritization,cDelegation,cand
cAssignmentc4thcEdition.
PracticecExercisescforcthecNCLEXcExamination
Tocclarify,cthisciscthectestcbank,cnotcthe
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herefore,cyoucdocnotcneedcspecializedcsoftwarec
tocopencthem.
ThisciscacTestcBankc(StudycQuestions)cwhichchelpscyo
ucbettercpreparecforcyourctestscandcexams.
PrioritizationcDelegationcandcAssignmentc4thcEdi
tioncbycLaCharitycTestcBankcemphasisconcthecNCL
EXcExamination’scmanagement-of-
carecfocuscaddressescthecheavycemphasisconcpriori
tization,cdelegation,candcpatientcassignmentcincth
eccurrentcNCLEX-
RN®cExaminationcandcmuchcmore!
NursingcTestcBankcDownloadcinstantlycaftercpurchasecwillchavecyouconcthecroadctocacademicce
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TABLEcOFcCONTENTS
GuidelinescforcPrioritization,cDelegation,candcAssignmentcDecisions
1. Pain
2. Cancer
3. ImmunologiccProblems
4. Fluid,cElectrolyte,candcAcid-BasecBalancecProblems
5. SafetycandcInfectioncControl
6. RespiratorycProblems
7. CardiovascularcProblems
8. HematologiccProblems
9. NeurologiccProblems
10. VisualcandcAuditorycProblems
11. MusculoskeletalcProblems
12. GastrointestinalcandcNutritionalcProblems
13. DiabetescMellitus
14. OthercEndocrinecProblems
15. IntegumentarycProblems
16. RenalcandcUrinarycProblems
17. ReproductivecProblems
18. ProblemscincPregnancycandcChildbearing
19. PediatriccProblems
20. PharmacologycNEW!
21. EmergenciescandcDisasters
22. Psychiatric–MentalcHealthcProblems
, Test Bank for Prioritization Delegation and Assig
c c c c c cc
nment 4th Edition LaCharity Chapter 1-
c c c c c
22 Complete Guide
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
c c c c c c c c
Chapterc1.cPaincMUL
TIPLEcCHOICE
1.Acclientctellscthecnursecthatcshecrarelycexperiencescpain,cbutcwhencshecdoes,cshecseekscmedicalcattentio
n.cThecnursecrealizescthiscclientcunderstandscthatcpainciscimportantcbecausecit:
1. iscacprotectivecsystem.
2. includescthecautomaticcwithdrawalcreflex.
3. createscsensitivityctocpain.
4. helpscwithchealing.
SOLUTION:c 1
Painciscacprotectivecsystemcthatcincludescprotectioncfromcunsafecbehaviorscbycusecofcreflexes,cmemor
y,candcavoidance.cEvencthoughcthecautomaticcwithdrawalcreflexciscacpartcofcthecpaincresponse,citcdoesc
notcexplaincwhycpainciscimportant.cPaincdoescnotccreatecsensitivityctocpain.cPaincdoescnotchelpcwithche
aling.
PTS:c1cDIF:cAnalyzecREFERENCE:cDefinitionscandcImplicationscofcPain
2.Acclientccomplainscthatcthecbedcsheetsctouchingchiscskincarecextremelycpainful.cThecnursecrea
lizescthiscclientciscexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
SOLUTION:c 1
Allodyniacorchyperalgesiaciscacstatecwherecacslightcorcnonpainfulcstimulusciscinterpretedcascverycpainfu
l.cKinesthesiaciscthecawarenesscofcmovement.cProprioceptionciscthecawarenesscofcbodycposition.cMod
ulationciscancinfluencingcfactorcincthecperceptioncofcpain.
PTS:c1cDIF:cAnalyzecREFERENCE:cPeripheralcNervouscSystem
3.Acclientcisccomplainingcofcseverecabdomencpain.cThecnursecrealizescthiscclientciscexperiencingcwhic
hctypecofcpain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION:c 4
Visceralcpainciscpaincarisingcfromcthecbodycorganscorcgastrointestinalctract.cSomaticcpainciscpaincthatc
originatescfromcthecbone,cjoints,cmuscles,cskin,corcconnectivecpain.cNeuralgiacand
, Test Bank for Prioritization Delegation and Assig
c c c c c cc
nment 4th Edition LaCharity Chapter 1-
c c c c c
22 Complete Guide
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pathologicalcpaincarecbothctypescofcpaincthatcresultcfromcinjuryctocacnervecorcmalfunctioncofcthecneuronal
ctransmissioncprocesscorcduectocimpairedcregulation.
PTS:1DIF:AnalyzeREFERENCE:Typesc ofcPain
4.Acclient,cdiagnosedcwithcacutecappendicitis,ciscexperiencingcabdominalcpain.cThecbestcwaycforcthec
nursectocdescribecthiscclientscpaincwouldcbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
SOLUTION:c 4
Acutecpainconsetciscsuddencandcofcshortcduration.cChroniccpainciscacsuddencorcslowconsetcofcmildctocs
everecpaincthatclastsclongercthanc6cmonths.cReferredcpainciscthecresultcofcthectransfercofcvisceralcpai
ncsensationsctocacbodycsurfacecatcacdistancecfromcthecactualcorigin.cNeuropathiccpainciscparoxysmalc
paincthatcoccurscalongcthecbranchescofcac nerve.
PTS:1DIF:ApplyREFERENCE:Typesc ofcPain
5.Acclientciscobservedcholdingcacpillowcovercthecabdominalcregioncwithcbothckneescflexedcincacsi
de-
lyingcposition.cVitalcsignscassessmentcrevealscancelevatedcbloodcpressurecandcheartcrate.cWhich
cofcthecfollowingcshouldcthecnursecsayctocthiscclient?
1. CancIcgetcyoucanything?
2. Wouldcyouclikecsomethingcforcpain?
3. Youclookccomfortable.
4. Yourcbloodcpressureciscup.
SOLUTION:c 2
Sympatheticcresponsesctocpaincincludecelevatedcbloodcpressurecandcheartcrate.cAndcsincecthecclientc
ischuggingcacpillowcovercthecabdominalcregioncwithcbothckneescflexedcincacside-
lyingcposition,cthecbestcthingcforcthecnursectocsayctocthiscclientciscWouldcyouclikecsomethingcforcpain
?cThecothercresponsescarecincorrectcbecausectheycdocnotcacknowledgecthatcthecclientciscexperiencingc
pain.
PTS:c1cDIF:cApplycREFERENCE:cAssessingcthecClinicalcManifestationscofcPain
6.AcclientcexperiencingcchroniccpaincaskscthecnursecwhycsheciscnotcprescribedcDemerolclikecshecrecei
vedcwhencshechadcactotalckneecreplacement.cWhichcofcthecfollowingcshouldcthecnursecrespondctocthi
scclient?
1. Youcdontcneedcsomethingcthatcstrong.
2. Thatcmedicationcdoescnotcexistcanymore.
3. Thatcmedicationcdoescnotclastcveryclong.
4. Itccanccausecyouchavechighcbloodc pressure.
, Test Bank for Prioritization Delegation and Assig
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nment 4th Edition LaCharity Chapter 1-
c c c c c
22 Complete Guide
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SOLUTION:c 3
Meperidineciscnoclongercacmajorcdrugcforcacutecorcchroniccpaincduectocitscshortcanalgesiccdurationcofc
2ctoc3chourscandcthecpotentialcforcaccumulativectoxicceffectscofcitscmetabolite,cnormeperidine.cThecb
estcresponsecforcthecnursectocmakectocthecclientcwouldcbecthatcmedicationcdoescnotclastcveryclong.cTh
ecothercresponsescarecinaccurate.
PTS:1DIF:ApplyREFERENCE:Opioidc Analgesics
7.Acclientciscinformedcthatcactricycliccantidepressantcmedicationciscgoingctochelpccontrolchiscch
roniccpain.cThecnursecwouldcexpectcthecphysicianctocprescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
SOLUTION:c 1
Amitriptylineciscancantidepressant.cGabapentinciscancanticonvulsant.cBaclofenciscacmusclecrela
xant.cDiazepamciscacbenzodiazepine.
PTS:c1cDIF:cAnalyzecREFERENCE:cAdjuvantcMedications
8.Acclientcreceivingcaround-the-
clockcmedicationcforcterminalccancercexperiencescadditionalcpaincwhencperformingcactivitiescofcdailycli
ving.cThecnursecrealizescthiscclientciscexperiencing:
1. breakthroughcpain.
2. intractablecpain.
3. psychosomaticcpain.
4. acutecpain.
SOLUTION:c 1
Breakthroughcpaincisccommonlycseencincthecadvancedcstagescofccancer.cItciscspontaneous,cunpredic
table,candccancbecinitiatedcbyccertaincactivitiescsuchcascduringcactivitiescofcdailycliving.cIntractablec
painciscresistantctocsomecorcallcformscofctherapy.cPsychosomaticcpainciscthatcwhichchascacpsychologi
calcorigin.cThecclientciscdiagnosedcwithcterminalccancer.cAcutecpainchascacsuddenconsetcandcresolve
scwithinc6cmonths.
PTS:1DIF:AnalyzeREFERENCE:Breakthroughc Pain
9. Acclientcrecoveringcfromcsurgeryctellscthecnursecthatcsheciscnauseatedcandciscexperiencingcancin
creasecincpain.cWhichcofcthecfollowingcdoescthiscclientscsymptomscsuggestctocthecnurse?
1 Thecclientciscbecomingcdependentcuponcthecpaincmedication.
.