Exam (elaborations)
Test Bank for Prioritization Delegation and Assignment 5th Edition LaCharity, Kumagai, and Hosler
Test Bank for Prioritization Delegation and Assignment 5th Edition LaCharity, Kumagai, and Hosler
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Page il1 ilofil147
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Prioritization ilDelegation iland ilAssignment il5th ilEdition ilLaCharity ilTest ilBank
Chapter il1. ilPain
ilMULTIPLE ilCHOICE
1.A ilclient iltells ilthe ilnurse ilthat ilshe ilrarely ilexperiences ilpain, ilbut ilwhen ilshe ildoes, ilshe ilseeks
ilmedicalliattention. ilThe ilnurse ilrealizes ilthis ilclient ilunderstands ilthat ilpain ilis ilimportant ilbecause
ilit:
1. is ila ilprotective ilsystem.
2. includes ilthe ilautomatic ilwithdrawal ilreflex.
3. creates ilsensitivity ilto ilpain.
4. helps ilwith ilhealing.
ANS: il1
Pain ilis ila ilprotective ilsystem ilthat ilincludes ilprotection ilfrom ilunsafe ilbehaviors ilby iluse ilof
ilreflexes, ilmemory, iland ilavoidance. ilEven ilthough ilthe ilautomatic ilwithdrawal ilreflex ilis ila ilpart
ilof ilthe ilpain ilresponse, ilit ildoes ilnot ilexplain ilwhy ilpain ilis ilimportant. ilPain ildoes ilnot ilcreate
ilsensitivity ilto ilpain. ilPainlidoes ilnot ilhelp ilwith ilhealing.
PTS: il1 ilDIF: ilAnalyze ilREF: ilDefinitions iland ilImplications ilof ilPain
2.A ilclient ilcomplains ilthat ilthe ilbed ilsheets iltouching ilhis ilskin ilare ilextremely ilpainful.
ilThe ilnurselirealizes ilthis ilclient ilis ilexperiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: il1
Allodynia ilor ilhyperalgesia ilis ila ilstate ilwhere ila ilslight ilor ilnonpainful ilstimulus ilis ilinterpreted ilas
ilverylipainful. ilKinesthesia ilis ilthe ilawareness ilof ilmovement. ilProprioception ilis ilthe ilawareness
ilof ilbody ilposition. ilModulation ilis ilan ilinfluencing ilfactor ilin ilthe il perception ilof ilpain.
PTS: il1 ilDIF: ilAnalyze ilREF: ilPeripheral ilNervous ilSystem
3.A ilclient ilis ilcomplaining ilof ilsevere ilabdomen ilpain. ilThe ilnurse ilrealizes ilthis ilclient ilis
ilexperiencingliwhich iltype ilof ilpain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: il4
Visceral ilpain ilis ilpain ilarising ilfrom ilthe ilbody ilorgans ilor ilgastrointestinal iltract. ilSomatic ilpain
Page il2 ilof
il147
,ilis ilpainlti hat iloriginates ilfrom ilthe ilbone, iljoints, ilmuscles, ilskin, ilor ilconnective ilpain.
ilNeuralgia iland
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pathological ilpain ilare ilboth iltypes ilof ilpain ilthat ilresult ilfrom ilinjury ilto ila ilnerve ilor ilmalfunction
ilof ilthelineuronal iltransmission ilprocess ilor ildue ilto ilimpaired ilregulation.
PTS:1DIF:AnalyzeREF:Types ilof ilPain
4.A ilclient, ildiagnosed ilwith ilacute ilappendicitis, ilis ilexperiencing ilabdominal ilpain. ilThe ilbest
ilway ilforlithe ilnurse ilto ildescribe ilthis ilclients ilpain ilwould ilbe:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: il4
Acute ilpain ilonset ilis ilsudden iland ilof ilshort ilduration. ilChronic ilpain ilis ila ilsudden ilor ilslow
ilonset ilof ilmildlito ilsevere ilpain ilthat illasts illonger ilthan il6 ilmonths. ilReferred ilpain ilis ilthe
ilresult ilof ilthe iltransfer ilof ilvisceral ilpain ilsensations ilto ila ilbody ilsurface ilat ila ildistance ilfrom
ilthe ilactual ilorigin. ilNeuropathic ilpain ilis ilparoxysmal ilpain ilthat iloccurs ilalong ilthe ilbranches
ilof ila i l nerve.
PTS:1DIF:ApplyREF:Types ilof ilPain
5.A ilclient ilis ilobserved ilholding ila ilpillow ilover ilthe ilabdominal ilregion ilwith ilboth ilknees
ilflexed ilin ilaliside-lying ilposition. ilVital ilsigns ilassessment ilreveals ilan ilelevated ilblood
ilpressure iland ilheart ilrate. ilWhich ilof ilthe ilfollowing ilshould ilthe ilnurse ilsay ilto ilthis
ilclient?
1. Can ilI ilget ilyou ilanything?
2. Would ilyou illike ilsomething ilfor ilpain?
3. You illook ilcomfortable.
4. Your ilblood ilpressure ilis ilup.
ANS: il2
Sympathetic ilresponses ilto ilpain ilinclude ilelevated ilblood ilpressure iland ilheart ilrate. ilAnd
ilsince ilthe ilclient ilis ilhugging ila ilpillow ilover ilthe ilabdominal ilregion ilwith ilboth ilknees ilflexed
ilin ila ilside-lying ilposition, ilthe ilbest ilthing ilfor ilthe ilnurse ilto ilsay ilto ilthis ilclient ilis ilWould
ilyou illike ilsomething ilfor ilpain? ilThe ilother ilresponses ilare ilincorrect ilbecause ilthey ildo ilnot
ilacknowledge ilthat ilthe ilclient ilis ilexperiencinglipain.
PTS: il1 ilDIF: ilApply ilREF: ilAssessing ilthe ilClinical ilManifestations ilof ilPain
6.A ilclient ilexperiencing ilchronic ilpain ilasks ilthe ilnurse ilwhy ilshe ilis ilnot ilprescribed ilDemerol
illike ilshelireceived ilwhen ilshe ilhad ila iltotal ilknee ilreplacement. ilWhich ilof ilthe ilfollowing
ilshould ilthe ilnurse ilrespond ilto ilthis ilclient?
1. You ildont ilneed ilsomething ilthat ilstrong.
2. That ilmedication ildoes ilnot ilexist ilanymore.
3. That ilmedication ildoes ilnot illast ilvery illong.
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