Test Bank For Prioritization, Delegation, and Assignment 4th Edition Practice Exercises for the NCLEX Exam by Linda A. LaCharity; Candice K. Kumagai; Barbara Bartz 9780323498289 Chapter 1-22 Complete Guide .

Test Bank for Prioritization Delegation and Assig
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nment 4th Edition LaCharity Chapter 1-
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22Complete Guide
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PracticehExerciseshforhthehNCLEXhExamination
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ThishishahTesthBankh(StudyhQuestions)hwhichhhelpshyo
uhbetterhpreparehforhyourhtestshandhexams.
PrioritizationhDelegationhandhAssignmenth4thhEd
itionhbyhLaCharityhTesthBankhemphasishonhthehN
CLEXhExamination’shmanagement-of-
carehfocushaddresseshthehheavyhemphasishonhprior
itization,hdelegation,handhpatienthassignmenthinht
hehcurrenthNCLEX-
RN®hExaminationhandhmuchhmore!
NursinghTesthBankhDownloadhinstantlyhafterhpurchasehwillhhavehyouhonhthehroadhtohacademichexcelle
ncehtohpasshyourhclasseshwithheasehandhreceivehthehgradeshyouhdeserve!
TABLEhOFhCONTENTS
GuidelineshforhPrioritization,hDelegation,handhAssignmenthDecisions
1. Pain
2. Cancer
3. ImmunologichProblems
4. Fluid,hElectrolyte,handhAcid-BasehBalancehProblems
5. SafetyhandhInfectionhControl
6. RespiratoryhProblems
7. CardiovascularhProblems
8. HematologichProblems
9. NeurologichProblems
10. VisualhandhAuditoryhProblems
11. MusculoskeletalhProblems
12. GastrointestinalhandhNutritionalhProblems
13. DiabeteshMellitus
14. OtherhEndocrinehProblems
15. IntegumentaryhProblems
16. RenalhandhUrinaryhProblems
17. ReproductivehProblems
18. ProblemshinhPregnancyhandhChildbearing
19. PediatrichProblems
20. PharmacologyhNEW!
21. EmergencieshandhDisasters
22. Psychiatric–MentalhHealthhProblems

, Test Bank for Prioritization Delegation and Assig
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nment 4th Edition LaCharity Chapter 1-
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22Complete Guide
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
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Chapterh1.hPainhMUL
TIPLEhCHOICE
1.Ahclienthtellshthehnursehthathshehrarelyhexperienceshpain,hbuthwhenhshehdoes,hshehseekshmedicalhatt
ention.hThehnursehrealizeshthish clienthunderstandshthathpainhishimportanthbecausehit:


1. ishahprotectivehsystem.
2. includeshthehautomatichwithdrawalhreflex.
3. createshsensitivityhtohpain.
4. helpshwithhhealing.
SOLUTION:h 1
Painhishahprotectivehsystemhthathincludeshprotectionhfromhunsafehbehaviorshbyhusehofhreflexes,hmemo
ry,handhavoidance.hEvenhthoughhthehautomatichwithdrawalhreflexhishahparthofhthehpainhresponse,hithdoe
shnothexplainhwhyhpainhishimportant.hPainhdoesh nothcreatehsensitivityhtohpain.hPainhdoeshnothhelphwithh
healing.
PTS:h1hDIF:hAnalyzehREFERENCE:hDefinitionshandhImplicationshofhPain
2.Ahclienthcomplainshthaththehbedhsheetshtouchinghhishskinharehextremelyhpainful.hThehnursehrealizesh
thishclienthishexperiencing:


1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
SOLUTION:h 1
Allodyniahorhhyperalgesiahishahstatehwherehahslighthorhnonpainfulhstimulushishinterpretedhashveryhpainf
ul.hKinesthesiahishthehawarenesshofhmovement.hProprioceptionhishthehawarenesshofhbodyhposition.hM
odulationhishanhinfluencingh factorhinhthehperceptionhofhpain.
PTS:h1hDIF:hAnalyzehREFERENCE:hPeripheralhNervoushSystem
3.Ahclienthishcomplaininghofhseverehabdomenhpain.hThehnursehrealizeshthishclienthishexperiencinghwhic
hhtypehofhpain?


1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION:h 4
Visceralhpainhishpainharisinghfromhthehbodyhorganshorhgastrointestinalhtract.hSomatichpainhishpainhthat
horiginatesh fromhthehbone,h joints,hmuscles,hskin,h orhconnectivehpain.hNeuralgiahand

, Test Bank for Prioritization Delegation and Assig
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22Complete Guide
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pathologicalhpainharehbothhtypeshofhpainhthathresulthfromhinjuryhtohahnervehorhmalfunctionhofhthehneuronalh
transmissionhprocesshorhduehtohimpairedhregulation.
PTS:1DIF:AnalyzeREFERENCE:TypeshofhPain
4.Ahclient,hdiagnosedhwithhacutehappendicitis,hishexperiencinghabdominalhpain.hThehbesthwayhforhthe
hnurseh tohdescribehthish clientshpainhwouldhbe:




1. chronic.
2. neuropathic.
3. referred.
4. acute.
SOLUTION:h 4
Acutehpainhonsethishsuddenhandhofhshorthduration.hChronichpainhishahsuddenhorhslowhonsethofhmildhtoh
severehpainhthathlastshlongerhthanh6hmonths.hReferredhpainhishthehresulthofhthehtransferhofhvisceralhp
ainhsensationshtohahbodyhsurfacehathahdistancehfromhthehactualhorigin.hNeuropathichpainhishparoxysm
alhpainhthathoccurshalonghthehbranchesh ofhah nerve.
PTS:1DIF:ApplyREFERENCE:TypeshofhPain
5.Ahclienthishobservedhholdinghahpillowhoverhthehabdominalhregionhwithhbothhkneeshflexedhinhahs
ide-
lyinghposition.hVitalhsignshassessmenthrevealshanhelevatedhbloodhpressurehandhhearthrate.hWhic
hhofhthehfollowinghshouldhthehnursehsayhtohthishclient?


1. CanhIhgethyouhanything?
2. Wouldhyouhlikehsomethinghforhpain?
3. Youhlookhcomfortable.
4. Yourhbloodhpressurehishup.
SOLUTION:h 2
Sympathetichresponseshtohpainhincludehelevatedhbloodhpressurehandhhearthrate.hAndhsincehthehclient
hishhugginghahpillowhoverhthehabdominalhregionhwithhbothhkneeshflexedhinhahside-

lyinghposition,hthehbesththinghforhthehnursehtohsayhtohthishclienthishWouldhyouhlikehsomethinghforhpai
n?hThehotherhresponsesharehincorrecthbecausehtheyhdohnothacknowledgehthaththehclienthishexperienci
nghpain.
PTS:h1hDIF:hApplyhREFERENCE:hAssessinghthehClinicalhManifestationshofhPain
6.AhclienthexperiencinghchronichpainhaskshthehnursehwhyhshehishnothprescribedhDemerolhlikehshehrec
eivedhwhenhshehhadhahtotalhkneehreplacement.hWhichhofhthehfollowinghshouldhthehnursehrespondhto
hthishclient?




1. Youhdonthneedhsomethinghthathstrong.
2. Thathmedicationhdoeshnothexisthanymore.
3. Thathmedicationhdoeshnothlasthveryhlong.
4. Ithcanhcausehyouhhavehhighhbloodh pressure.

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SOLUTION:h 3
Meperidinehishnohlongerhahmajorhdrughforhacutehorhchronichpainhduehtohitshshorthanalgesichdurationhof
h2htoh3hhourshandhthehpotentialhforhaccumulativehtoxicheffectshofhitshmetabolite,hnormeperidine.hThe

hbesthresponsehforhthehnursehtohmakehtohthehclienthwouldhbehthathmedicationhdoeshnoth lasth veryhlong.h

Thehotherhresponsesharehinaccurate.
PTS:1DIF:ApplyREFERENCE:Opioidh Analgesics
7.Ahclienthishinformedhthathahtricyclichantidepressanthmedicationhishgoinghtohhelphcontrolhhishchronich
pain.hThehnursehwouldhexpecththehphysicianhtohprescribe:


1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
SOLUTION:h 1
Amitriptylinehishanhantidepressant.hGabapentinhishanhanticonvulsant.hBaclofenhishahmusclehrelaxant.
hDiazepamh ish ahbenzodiazepine.

PTS:h1hDIF:hAnalyzehREFERENCE:hAdjuvanthMedications
8.Ahclienthreceivingharound-the-
clockhmedicationhforhterminalhcancerhexperienceshadditionalhpainhwhenhperforminghactivitieshofhdaily
hliving.hThehnursehrealizeshthish clienthishexperiencing:




1. breakthroughhpain.
2. intractablehpain.
3. psychosomatichpain.
4. acutehpain.
SOLUTION:h 1
Breakthroughhpainhishcommonlyhseenhinhthehadvancedhstageshofhcancer.hIthishspontaneous,hunpredi
ctable,handhcanhbehinitiatedhbyhcertainhactivitieshsuchhashduringhactivitieshofhdailyhliving.hIntractabl
ehpainhishresistanthtohsomehorhallhformshofhtherapy.hPsychosomatichpainhishthathwhichhhashahpsycholo
gicalhorigin.hThehclienthishdiagnosedhwithhterminalhcancer.hAcutehpainhhashahsuddenhonsethandhreso
lveshwithinh6hmonths.
PTS:1DIF:AnalyzeREFERENCE:Breakthroughh Pain
9.Ahclienthrecoveringhfromhsurgeryhtellshthehnursehthathshehishnauseatedhandhishexperiencinghanhi
ncreasehinhpain.hWhichhofhthehfollowinghdoeshthishclientshsymptomshsuggesthtohthehnurse?

1 Thehclienthishbecominghdependenthuponhthehpainhmedication.
.