TestBank for Prioritization Delegation and Assignment 4th Edition LaCharity Chapter1-22 CompleteGuide

Test Bank for Prioritization Delegation and
Assignment 4th Edition LaCharity Chapter 1-22
Complete Guide


TestJBankJPrioritization,JDelegation,Jand
JAssignmentJ4thJEdition.

PracticeJExercisesJforJtheJNCLEXJExamination
JJToJclarify,JthisJisJtheJtestJbank,JnotJthetextb

ook.
JYouJgetJimmediateJaccessJtoJdownloadJyourJtes
tJbank.
JYouJwillJreceiveJaJcompleteJtestJbank;JinJoth
erJwords,JallJchaptersJwillJbeJthere.
JTestJbanksJcomeJinJePubJorJPDFJformat;Jtheref
ore,JyouJdoJnotJneedJspecializedJsoftwareJtoJope
nJthem.
ThisJisJaJTestJBankJ(StudyJQuestions)JwhichJhelpsJy
ouJbetterJprepareJforJyourJtestsJandJexams.JPrioritiz
ationJDelegationJandJAssignmentJ4thJEditionJbyJLa
CharityJTestJBankJemphasisJonJtheJNCLEXJExamin
ation’sJmanagement-of-
careJfocusJaddressesJtheJheavyJemphasisJonJprioriti
zation,Jdelegation,JandJpatientJassignmentJinJtheJcu
rrentJNCLEX-RN®JExaminationJandJmuchJmore!
NursingJTestJBankJDownloadJinstantlyJafterJpurchaseJwillJhaveJyouJonJtheJroadJtoJacademi
cJexcellenceJtoJpassJyourJclassesJwithJeaseJandJreceiveJtheJgradesJyouJdeserve!
TABLEJOFJCONTENTS
GuidelinesJforJPrioritization,JDelegation,JandJAssignmentJDecisions
Pain
Cancer
ImmunologicJProblems
Fluid,JElectrolyte,JandJAcid-BaseJBalanceJProblems
SafetyJandJInfectionJControl
RespiratoryJProblems
CardiovascularJProblems
HematologicJProblems
NeurologicJProblems
VisualJandJAuditoryJProblems
MusculoskeletalJProblems
GastrointestinalJandJNutritionalJProblems
DiabetesJMellitus
OtherJEndocrineJProblems
IntegumentaryJProblems
RenalJandJUrinaryJProblems
ReproductiveJProblems
ProblemsJinJPregnancyJandJChildbearing
PediatricJProblems
PharmacologyJNEW!
EmergenciesJandJDisasters
Psychiatric–MentalJHealthJProblems

, Test Bank for Prioritization Delegation and Assig
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
J J J J J J J J




ChapterJ1.JPain
MULTIPLEJCHOICE
1.AJclientJtellsJtheJnurseJthatJsheJrarelyJexperiencesJpain,JbutJwhenJsheJdoes,JsheJseeksJmedicalJat
tention.JTheJnurseJrealizesJthisJclientJunderstandsJthatJpainJisJimportantJbecauseJit:


isJaJprotectiveJsystem.
includesJtheJautomaticJwithdrawalJreflex.
createsJsensitivityJtoJpain.
helpsJwithJhealing.
SOLUTION: 1
PainJisJaJprotectiveJsystemJthatJincludesJprotectionJfromJunsafeJbehaviorsJbyJuseJofJreflexes,Jmem
ory,JandJavoidance.JEvenJthoughJtheJautomaticJwithdrawalJreflexJisJaJpartJofJtheJpainJresponse,JitJd
oesJnotJexplainJwhyJpainJisJimportant.JPainJdoesJnotJcreateJsensitivityJtoJpain.JPainJdoesJnotJhelpJw
ithJhealing.
PTS:J1JDIF:JAnalyzeJREFERENCE:JDefinitionsJandJImplicationsJofJPain
2.AJclientJcomplainsJthatJtheJbedJsheetsJtouchingJhisJskinJareJextremelyJpainful.JTheJnurseJr
ealizesJthisJclientJisJexperiencing:


1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
SOLUTION: 1
AllodyniaJorJhyperalgesiaJisJaJstateJwhereJaJslightJorJnonpainfulJstimulusJisJinterpretedJasJveryJp
ainful.JKinesthesiaJisJtheJawarenessJofJmovement.JProprioceptionJisJtheJawarenessJofJbodyJposit
ion.JModulationJisJanJinfluencingJfactorJinJtheJperceptionJofJpain.
PTS:J1JDIF:JAnalyzeJREFERENCE:JPeripheralJNervousJSystem
3.AJclientJisJcomplainingJofJsevereJabdomenJpain.JTheJnurseJrealizesJthisJclientJisJexperiencingJ
whichJtypeJofJpain?


1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION: 4
VisceralJpainJisJpainJarisingJfromJtheJbodyJorgansJorJgastrointestinalJtract.JSomaticJpainJisJpainJt
hatJoriginatesJfromJtheJbone,Jjoints,Jmuscles,Jskin,JorJconnectiveJpain.JNeuralgiaJand

, Test Bank for Prioritization Delegation and Assig
J J J J J J



nment 4th Edition LaCharity Chapter 1-
J J J J J



22 Complete Guide
J J




pathologicalJpainJareJbothJtypesJofJpainJthatJresultJfromJinjuryJtoJaJnerveJorJmalfunctionJofJtheJne
uronalJtransmissionJprocessJorJdueJtoJimpairedJregulation.JPTS:1DIF:AnalyzeREFERENCE:T
ypesJofJPain
4.AJclient,JdiagnosedJwithJacuteJappendicitis,JisJexperiencingJabdominalJpain.JTheJbestJwayJforJt
heJnurseJtoJdescribeJthisJclientsJpainJwouldJbe:

1. chronic.
2. neuropathic.
3. referred.
4. acute.
SOLUTION: 4
AcuteJpainJonsetJisJsuddenJandJofJshortJduration.JChronicJpainJisJaJsuddenJorJslowJonsetJofJmildJtoJ
severeJpainJthatJlastsJlongerJthanJ6Jmonths.JReferredJpainJisJtheJresultJofJtheJtransferJofJvisceralJpai
nJsensationsJtoJaJbodyJsurfaceJatJaJdistanceJfromJtheJactualJorigin.JNeuropathicJpainJisJparoxysmal
JpainJthatJoccursJalongJtheJbranchesJofJaJnerve.JPTS:1DIF:ApplyREFERENCE:TypesJofJPain

5.AJclientJisJobservedJholdingJaJpillowJoverJtheJabdominalJregionJwithJbothJkneesJflexedJinJaJsi
de-
lyingJposition.JVitalJsignsJassessmentJrevealsJanJelevatedJbloodJpressureJandJheartJrate.JWhichJ
ofJtheJfollowingJshouldJtheJnurseJsayJtoJthisJclient?


1. CanJIJgetJyouJanything?
2. WouldJyouJlikeJsomethingJforJpain?
3. YouJlookJcomfortable.
4. YourJbloodJpressureJisJup.
SOLUTION: 2
SympatheticJresponsesJtoJpainJincludeJelevatedJbloodJpressureJandJheartJrate.JAndJsinceJtheJclientJi
sJhuggingJaJpillowJoverJtheJabdominalJregionJwithJbothJkneesJflexedJinJaJside-
lyingJposition,JtheJbestJthingJforJtheJnurseJtoJsayJtoJthisJclientJisJWouldJyouJlikeJsomethingJforJpain?
JTheJotherJresponsesJareJincorrectJbecauseJtheyJdoJnotJacknowledgeJthatJtheJclientJisJexperiencingJp

ain.
PTS:J1JDIF:JApplyJREFERENCE:JAssessingJtheJClinicalJManifestationsJofJPain
6.AJclientJexperiencingJchronicJpainJasksJtheJnurseJwhyJsheJisJnotJprescribedJDemerolJlikeJsheJr
eceivedJwhenJsheJhadJaJtotalJkneeJreplacement.JWhichJofJtheJfollowingJshouldJtheJnurseJrespond
JtoJthisJclient?




YouJdontJneedJsomethingJthatJstrong.
ThatJmedicationJdoesJnotJexistJanymore.
ThatJmedicationJdoesJnotJlastJveryJlong.
ItJcanJcauseJyouJhaveJhighJbloodJpressure.

, Test Bank for Prioritization Delegation and Assig
J J J J J J



nment 4th Edition LaCharity Chapter 1-
J J J J J



22 Complete Guide
J J




SOLUTION: 3
MeperidineJisJnoJlongerJaJmajorJdrugJforJacuteJorJchronicJpainJdueJtoJitsJshortJanalgesicJduration
ofJ2JtoJ3JhoursJandJtheJpotentialJforJaccumulativeJtoxicJeffectsJofJitsJmetabolite,Jnormeperidine.
TheJbestJresponseJforJtheJnurseJtoJmakeJtoJtheJclientJwouldJbeJthatJmedicationJdoesJnotJlastJvery
long.JTheJotherJresponsesJareJinaccurate.
PTS:1DIF:ApplyREFERENCE:OpioidJAnalgesics
7.AJclientJisJinformedJthatJaJtricyclicJantidepressantJmedicationJisJgoingJtoJhelpJcontrolJhisJc
hronicJpain.JTheJnurseJwouldJexpectJtheJphysicianJtoJprescribe:


1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
SOLUTION: 1
AmitriptylineJisJanJantidepressant.JGabapentinJisJanJanticonvulsant.JBaclofenJisJaJmuscleJr
elaxant.JDiazepamJisJaJbenzodiazepine.
PTS:J1JDIF:JAnalyzeJREFERENCE:JAdjuvantJMedications
8.AJclientJreceivingJaround-the-
clockJmedicationJforJterminalJcancerJexperiencesJadditionalJpainJwhenJperformingJactivitiesJofJdai
lyJliving.JTheJnurseJrealizesJthisJclientJisJexperiencing:

1. breakthroughJpain.
2. intractableJpain.
3. psychosomaticJpain.
4. acuteJpain.
SOLUTION: 1
BreakthroughJpainJisJcommonlyJseenJinJtheJadvancedJstagesJofJcancer.JItJisJspontaneous,Junpredict
able,JandJcanJbeJinitiatedJbyJcertainJactivitiesJsuchJasJduringJactivitiesJofJdailyJliving.JIntractableJp
ainJisJresistantJtoJsomeJorJallJformsJofJtherapy.JPsychosomaticJpainJisJthatJwhichJhasJaJpsychologic
alJorigin.JTheJclientJisJdiagnosedJwithJterminalJcancer.JAcuteJpainJhasJaJsuddenJonsetJandJresolvesJ
withinJ6Jmonths.
PTS:1DIF:AnalyzeREFERENCE:BreakthroughJPain
9.AJclientJrecoveringJfromJsurgeryJtellsJtheJnurseJthatJsheJisJnauseatedJandJisJexperiencingJanJin
creaseJinJpain.JWhichJofJtheJfollowingJdoesJthisJclientsJsymptomsJsuggestJtoJtheJnurse?

TheJclientJisJbecomingJdependentJuponJtheJpainJmedication.
.