Edition LaCharity Chapter 1-22 Complete Guide
-
Test-Bank-Prioritization,-Delegation,-
and-Assignment-4th-Edition.
Practice-Exercises-for-the-NCLEX-Examination
To-clarify,-this-is-the-test-bank,-not-
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in-other-words,-all-chapters-will-be-there.
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This-is-a-Test-Bank-(Study-Questions)-which-
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Prioritization-Delegation-and-Assignment-4th-
Edition-by-LaCharity-Test-Bank-emphasis-on-
the-NCLEX-Examination’s-management-of-care-
focus-addresses-the-heavy-emphasis-on-
prioritization,-delegation,-and-patient-
assignment-in-the-current-NCLEX-RN®-
Examination-and-much-more!
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TABLE-OF-CONTENTS
Guidelines-for-Prioritization,-Delegation,-and-Assignment-Decisions
1. Pain
2. Cancer
3. Immunologic- Problems
4. Fluid,-Electrolyte,-and-Acid-Base-Balance-Problems
5. Safety-and-Infection-Control
6. Respiratory- Problems
7. Cardiovascular- Problems
8. Hematologic-Problems
9. Neurologic- Problems
10. Visual-and-Auditory-Problems
11. Musculoskeletal- Problems
12. Gastrointestinal- and-Nutritional-Problems
13. Diabetes-Mellitus
14. Other-Endocrine-Problems
15. Integumentary- Problems
16. Renal-and-Urinary-Problems
17. Reproductive- Problems
18. Problems-in-Pregnancy-and-Childbearing
19. Pediatric- Problems
20. Pharmacology- NEW!
21. Emergencies-and-Disasters
,22. Psychiatric–Mental- Health- Problems
, 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.
SOLUTION:- 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-REFERENCE:-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.
SOLUTION:- 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-REFERENCE:-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
SOLUTION:- 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
, 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:AnalyzeREFERENCE: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.
SOLUTION:- 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:ApplyREFERENCE: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.
SOLUTION:- 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-REFERENCE:-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.