Test Bank for Prioritization Delegation and Assignment 5th Edition LaCharity, Kumagai, and Hosler

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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 2i

4. Fluid, Electrolyte, and Acid-Base Balance Problems
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5. Safety and Infection Control
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6. Respiratory Problems 2i

7. Cardiovascular Problems 2i


8. Hematologic Problems 2i

9. Neurologic Problems 2i


10. Visual and Auditory Problems
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11. Musculoskeletal Problems 2i

12. Gastrointestinal and Nutritional Problems 2i 2i 2i

13. Diabetes Mellitus
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14. Other Endocrine Problems
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15. Integumentary Problems 2i

16. Renal and Urinary Problems
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17. Reproductive Problems 2i


18. Problems in Pregnancy and Childbearing
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19. Pediatric Problems
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20. Pharmacology NEW! 2i

21. Emergencies and Disasters 2i 2i


22. Psychiatric–Mental Health Problems 2i 2i

, Prioritization Delegation and Assignment 5th Edition LaCharity Test Bank 2i 2i 2i 2i 2i 2i 2i 2i




Chapter 1. Pain MUL 2i 2i 2i


TIPLE CHOICE 2i


1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical atten
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tion. 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. 2i 2i 2i 2i




3. creates sensitivity to pain. 2i 2i 2i




4. helps with healing. 2i 2i



ANS: 1 2i


Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, m
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emory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain respon
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se, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain does
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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 nurse realiz
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es this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 2i


Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very p
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ainful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body posi
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tion. 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 experiencing whic
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h 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 pain t
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hat 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 the neuro
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nal transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain 2i 2i


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


Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
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to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of visce
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ral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain is pa
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roxysmal pain that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain 2i 2i


5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
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side-
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lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Whi
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ch of the following should the nurse say to this client?
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1. Can I get you anything? 2i 2i 2i 2i




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




3. You look comfortable. 2i 2i




4. Your blood pressure is up. 2i 2i 2i 2i



ANS: 2 2i


Sympathetic responses to pain include elevated blood pressure and heart rate. And since the clie
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nt is hugging a pillow over the abdominal region with both knees flexed in a side-
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lying position, the best thing for the nurse to say to this client is Would you like something for p
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ain? The other responses are incorrect because they do not acknowledge that the client is experie
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ncing pain. 2i


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 she r
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eceived when she had a total knee replacement. Which of the following should the nurse respon
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d to this client?
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1. You dont need something that strong.
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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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