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

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Test Bank Prioritization, Delegation, and ss ss ss ss



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Prioritization Delegation and Assignment 4th ss ss ss ss



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the NCLEX Examination’s management-of-care ss ss ss ss



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prioritization, delegation, and patient ss ss ss ss



assignment in the current NCLEX-RN® ss ss ss ss ss


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excellence to pass your classes with ease and receive the grades you deserve!
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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 ss



4. Fluid, Electrolyte, and Acid-Base Balance Problems
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5. Safety and Infection Control
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6. Respiratory Problems ss



7. Cardiovascular Problems ss



8. Hematologic Problems ss


9. Neurologic Problems ss


10. Visual and Auditory Problems
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11. Musculoskeletal Problems ss


12. Gastrointestinal and Nutritional Problems ss ss ss


13. Diabetes Mellitus ss



14. Other Endocrine Problems
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15. Integumentary Problems ss


16. Renal and Urinary Problems
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17. Reproductive Problems ss



18. Problems in Pregnancy and Childbearing
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19. Pediatric Problems ss


20. Pharmacology NEW! ss



21. Emergencies and Disasters ss ss



22. Psychiatric–Mental Health Problems ss ss

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Material


Test Bank for Prioritization Delegation and ss ss ss ss ss




ss Assignment 4thEditionLaCharityChapter 1-22 ss s s s ss




Complete Guide ss ss




PrioritizationDelegation and Assignment 4th Edition LaCharityTest Bank s ss ss ss s ss s ss




Chapter 1. Pain ss ss



MULTIPLECHOICE
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1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
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attention. 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. ss ss ss ss




3. creates sensitivity to pain. ss ss ss




4. helps with healing. ss ss




SOLUTION: 1 s s



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 whypain is important. Pain does not create sensitivity to pain. Pain
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does not help with healing.
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PTS: 1 DIF: Analyze REFERENCE: Definitions and Implications of Pain
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2.A client complains that the bed sheets touching his skin are extremelypainful. The nurse
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realizes this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
SOLUTION: 1 s s



Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
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painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body
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position. Modulation is an influencing factor in the perception of pain.
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PTS: 1 DIF: Analyze REFERENCE: Peripheral Nervous System
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3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing which
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type of pain?
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1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION: 4 s s



Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that
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originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
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Material


Test Bank for Prioritization Delegation and ss ss ss ss ss




ss Assignment 4thEditionLaCharityChapter 1-22 ss s s s ss




Complete Guide ss ss




pathological pain are both types of pain that result from injury to a nerve or malfunction of the
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neuronal transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREFERENCE:Types of Pain ss ss



4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
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the nurse to describe this clients pain would be:
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1. chronic.
2. neuropathic.
3. referred.
4. acute.
SOLUTION: 4 s s



Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to
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severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of
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visceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
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is paroxysmal pain that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREFERENCE:Types of Pain ss ss



5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
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side-lying position. Vital signs assessment reveals an elevated blood pressure and heart
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rate. Which of the following should the nurse say to this client?
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1. Can I get you anything? ss ss ss ss




2. Would you like something for pain? ss ss ss ss ss




3. You look comfortable. ss ss




4. Your blood pressure is up. ss ss ss ss




SOLUTION: 2 s s



Sympathetic responses to pain include elevated blood pressure and heart rate. And since the
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client is hugging a pillow over the abdominal region with both knees flexed in a side-lying
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position, the best thing for the nurse to say to this client is Would you like something for pain?
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The other responses are incorrect because they do not acknowledge that the client is experiencing
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pain.
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PTS: 1 DIF: Apply REFERENCE: Assessing the Clinical Manifestations of Pain
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6.A client experiencing chronic pain asks the nurse whyshe is not prescribed Demerol like she
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received 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. ss ss ss ss ss




2. That medication does not exist anymore. ss ss ss ss ss




3. Thatmedication does not last very long. s ss ss ss ss ss




4. It can cause you have high blood pressure.
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Material


Test Bank for Prioritization Delegation and ss ss ss ss ss




ss Assignment 4thEditionLaCharityChapter 1-22 ss s s s ss




Complete Guide ss ss




SOLUTION: 3 s s



Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration
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of 2 to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine.
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The best response for the nurse to make to the client would be that medication does not last very
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long. The other responses are inaccurate.
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PTS:1DIF:ApplyREFERENCE:Opioid Analgesics ss



7.A client is informed that a tricyclic antidepressant medication is going to help control his
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chronic pain. The nurse would expect the physician to prescribe:
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1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
SOLUTION: 1 s s



Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle
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relaxant. Diazepam is a benzodiazepine.
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PTS: 1 DIF: Analyze REFERENCE: Adjuvant Medications
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8. A client receiving around-the-clock medication for terminal cancer experiences additional pain
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when performing activities of daily living. The nurse realizes this client is experiencing:
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1. breakthrough pain. ss




2. intractable pain. ss




3. psychosomatic pain. ss




4. acutepain. s




SOLUTION: 1 s s



Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous,
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unpredictable, and can be initiated by certain activities such as during activities of daily living.
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Intractable pain is resistant to some or all forms of therapy. Psychosomatic pain is that which has a
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psychological origin. The client is diagnosed with terminal cancer. Acute pain has a sudden
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onset and resolves within 6 months.
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PTS:1DIF:AnalyzeREFERENCE:Breakthrough Pain ss



9. A client recovering from surgerytells the nurse that she is nauseated and is experiencing an
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increase in pain. Which of the following does this clients symptoms suggest to the nurse?
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1 The client is becoming dependent upon the pain medication.
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.