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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
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WWW.THENURSINGMASTERY.COM, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank n n n n n n n n
Chapter 1. Pain n n
MULTIPLE CHOICE
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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. n n n n
3. creates sensitivity to pain. n n n
4. helps with healing. n n
ANS: 1 n
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
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nmemory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
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nresponse, it does not explain why pain is important. Pain does not create sensitivity to pain.
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nPaindoes 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
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realizes this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 n
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 REF: Peripheral Nervous System
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3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing
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which type of pain?
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1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 n
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
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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
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neuronal transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain n n
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.
ANS: 4 n
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
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nvisceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
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nis paroxysmal pain that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain n n
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 rate.
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nWhich of the following should the nurse say to this client?
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1. Can I get you anything?
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2. Would you like something for pain? n n n n n
3. You look comfortable. n n
4. Your blood pressure is up. n n n n
ANS: 2 n
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the
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nclient is hugging a pillow over the abdominal region with both knees flexed in a side-lying
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nposition, the best thing for the nurse to say to this client is Would you like something for pain?
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nThe other responses are incorrect because they do not acknowledge that the client is
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nexperiencingpain. n
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
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received when she had a total knee replacement. Which of the following should the nurse
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nrespond to this client? n n n
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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, ANS: 3 n
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
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verylong. The other responses are inaccurate.
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PTS:1DIF:ApplyREF:Opioid Analgesics n
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.
ANS: 1 n
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 REF: Adjuvant Medications
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8.A client receiving around-the-clock medication for terminal cancer experiences additional
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npainwhen performing activities of daily living. The nurse realizes this client is experiencing:
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1. breakthrough pain. n
2. intractable pain. n
3. psychosomatic pain. n
4. acute pain. n
ANS: 1 n
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous,
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nunpredictable, and can be initiated by certain activities such as during activities of daily living.
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nIntractable pain is resistant to some or all forms of therapy. Psychosomatic pain is that which
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nhasa psychological origin. The client is diagnosed with terminal cancer. Acute pain has a
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nsudden onset and resolves within 6 months.
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PTS:1DIF:AnalyzeREF:Breakthrough Pain n
9.A client recovering from surgery tells 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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.
2 The clients pain threshold is lower when experiencing nausea.
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.
3 The client is experiencing withdrawal symptoms from pain medication.
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.
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