Prioritization Delegation and Assignment 4th Edition LaCharity Nursing Test Bank
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BIOL 123
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BIOL 123
Prioritization Delegation and Assignment 4th Edition LaCharity Nursing Test Bank/Prioritization Delegation and Assignment 4th Edition LaCharity Nursing Test Bank
prioritization delegation and assignment 4th edition lacharity nursing test bank
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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
Chapter 1. Pain
MULTIPLE CHOICE
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
attention. The nurse realizes this client understands that pain is important because it:
1. is a protective system.
2. includes the automatic withdrawal reflex.
3. creates sensitivity to pain.
4. helps with healing.
ANS: 1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
does not help with healing.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse
realizes this client is experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body
position. Modulation is an influencing factor in the perception of pain.
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing
which type of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
that 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
neuronal transmission process or due to impaired regulation.
PTS:1DIF:AnalyzeREF:Types of Pain
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
the nurse to describe this clients pain would be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of
visceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
is paroxysmal pain that occurs along the branches of a nerve.
PTS:1DIF:ApplyREF:Types of Pain
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
Which of the following should the nurse say to this client?
1. Can I get you anything?
2. Would you like something for pain?
3. You look comfortable.
4. Your blood pressure is up.
ANS: 2
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the
client is hugging a pillow over the abdominal region with both knees flexed in a side-lying
position, the best thing for the nurse to say to this client is Would you like something for pain?
The other responses are incorrect because they do not acknowledge that the client is experiencing
pain.
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
received when she had a total knee replacement. Which of the following should the nurse
respond to this client?
1. You dont need something that strong.
2. That medication does not exist anymore.
3. That medication does not last very long.
4. It can cause you have high blood pressure.
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,ANS: 3
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration
of 2 to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine.
The best response for the nurse to make to the client would be that medication does not last very
long. The other responses are inaccurate.
PTS:1DIF:ApplyREF:Opioid Analgesics
7.A client is informed that a tricyclic antidepressant medication is going to help control his
chronic pain. The nurse would expect the physician to prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: 1
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle
relaxant. Diazepam is a benzodiazepine.
PTS: 1 DIF: Analyze REF: Adjuvant Medications
8.A client receiving around-the-clock medication for terminal cancer experiences additional pain
when performing activities of daily living. The nurse realizes this client is experiencing:
1. breakthrough pain.
2. intractable pain.
3. psychosomatic pain.
4. acute pain.
ANS: 1
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous,
unpredictable, and can be initiated by certain activities such as during activities of daily living.
Intractable pain is resistant to some or all forms of therapy. Psychosomatic pain is that which has
a psychological origin. The client is diagnosed with terminal cancer. Acute pain has a sudden
onset and resolves within 6 months.
PTS:1DIF:AnalyzeREF:Breakthrough Pain
9.A client recovering from surgery tells the nurse that she is nauseated and is experiencing an
increase in pain. Which of the following does this clients symptoms suggest to the nurse?
1 The client is becoming dependent upon the pain medication.
.
2 The clients pain threshold is lower when experiencing nausea.
.
3 The client is experiencing withdrawal symptoms from pain medication.
.
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, 4 The client is experiencing referred pain.
.
ANS: 2
Pain threshold is influenced by nausea, fatigue, and lack of sleep. The client experiencing an
increase in pain during nausea is demonstrating an alteration in the pain threshold. The client is
not becoming dependent upon the pain medication. The client is not experiencing withdrawal
symptoms. The client is also not experiencing referred pain.
PTS: 1 DIF: Analyze REF: Pain Threshold and Pain Tolerance
10.A client with a history of malingering pain tells the nurse that he needs a prescription for pain
medication. Which of the following should the nurse do first to assist this client?
1 Ask the physician for a pain medication prescription for the client.
.
2 Remind the client that he does not have pain but just wants the medication.
.
3 Thoroughly assess the client for pain.
.
4 Suggest the client seek counseling for his pain medication-seeking behavior.
.
ANS: 3
Pain of a psychological origin is when an individual seeks treatment for pain when no actual pain
exists. This is also referred to as malingering or pretending pain. The nurse should not assume
that the pain does not exist but rather should conduct a thorough pain assessment to rule out an
actual physiological problem. The nurse should not immediately ask the physician for pain
medication. The nurse should not remind the client that he does not have pain but just wants the
medication. The nurse should also not suggest the client seek counseling for pain medication-
seeking behavior.
PTS: 1 DIF: Apply REF: Box 16-1 Pain Descriptions
11.The nurse is implementing the five Cs of pain management for a client. Which of the
following is included in this intervention?
1 Caring for the client in a holistic manner
.
2 Creating a calm environment
.
3 Comparing the degree of pain reported with previous episodes
.
4 Continuously assessing the clients pain
.
ANS: 4
The five Cs of pain management include comprehensive assessment, consistent use of
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