TEST BANK FOR PRIORITIZATION DELEGATION AND ASSIGNMENT 4TH EDITION LACHARITY NURSING | ALL CHAPTERS | BRAND NEW | 2024

Prioritization Delegation and
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Assignment 4th EditionLaCha
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rity Test Bank
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,PrioritizationmDelegationmandmAssignmentm4thmEditionm TestmBank



Chapterm1.mPainmMULTIPLEmCHOICE

1.Amclientmtellsmthemnursemthatmshemrarelymexperiencesmpain,mbutmwhenmshemdoes,mshemseeksmm
edicalmattention.mThemnursemrealizesmthismclientmunderstandsmthatmpainmismimportantmbecausemit:



1. ismamprotectivemsystem.

2. includesmthemautomaticmwithdrawalmreflex.

3. createsmsensitivitymtompain.

4. helpsmwithmhealin

g.mANS:m1

Painmismamprotectivemsystemmthatmincludesmprotectionmfrommunsafembehaviorsmbymusemofmreflexes,mme
mory,mandmavoidance.mEvenmthoughmthemautomaticmwithdrawalmreflexmismampartmofmthempainmresponse,
mitmdoesmnotmexplainmwhympainmismimportant.mPainmdoesmnotmcreatemsensitivitymtompain.mPainmdoesmnotm

helpmwithmhealing.

PTS:m1mDIF:mAnalyzemREF:mDefinitionsmandmImplicationsmofmPain

2.Amclientmcomplainsmthatmthembedmsheetsmtouchingmhismskinmaremextremelympainful.mThemnursemrealize
smthismclientmismexperiencing:



1. allodynia.

2. modulation.

3. kinesthesia.

4. proprioception.

ANS:m1
m



Allodyniamormhyperalgesiamismamstatemwheremamslightmormnonpainfulmstimulusmisminterpretedmasmverymp
ainful.mKinesthesiamismthemawarenessmofmmovement.mProprioceptionmismthemawarenessmofmbodympositio
n.
Modulationmismanminfluencingmfactorminmthemperceptionmofmp

ain.mPTS:m1mDIF:mAnalyzemREF:mPeripheralmNervousmSystem

3.Amclientmismcomplainingmofmseveremabdomenmpain.mThemnursemrealizesmthismclientmismexperiencingm
whichmtypemofmpain?



1. Neuralgia

,2. Pathological

3. Somatic

4. Visceral

ANS:m4
m



Visceralmpainmismpainmarisingmfrommthembodymorgansmormgastrointestinalmtract.mSomaticmpainmismpai
nmthatmoriginatesmfrommthembone,mjoints,mmuscles,mskin,mormconnectivempain.mNeuralgiamand



pathologicalmpainmarembothmtypesmofmpainmthatmresultmfromminjurymtomamnervemormmalfunctionmofmthemne
uronalmtransmissionmprocessmormduemtomimpairedmregulation.

PTS:1DIF:AnalyzeREF:TypesmofmPain

4.Amclient,mdiagnosedmwithmacutemappendicitis,mismexperiencingmabdominalmpain.mThembestmwaymformthem
nursemtomdescribemthismclientsmpainmwouldmbe:



1. chronic.

2. neuropathic.

3. referred.

4. acute.

ANS:m4
m



Acutempainmonsetmismsuddenmandmofmshortmduration.mChronicmpainmismamsuddenmormslowmonsetmofmmil
dmtomseverempainmthatmlastsmlongermthanm6mmonths.mReferredmpainmismthemresultmofmthemtransfermofmvi
sceralmpainmsensationsmtomambodymsurfacematmamdistancemfrommthemactualmorigin.mNeuropathicmpainmism
paroxysmalmpainmthatmoccursmalongmthembranchesmofmamnerve.

PTS:1DIF:ApplyREF:TypesmofmPain

5.Amclientmismobservedmholdingmampillowmovermthemabdominalmregionmwithmbothmkneesmflexedminmamsid
e-
lyingmposition.mVitalmsignsmassessmentmrevealsmanmelevatedmbloodmpressuremandmheartmrate.mWhichmofm
themfollowingmshouldmthemnursemsaymtomthismclient?



1. CanmImgetmyoumanything?

2. Wouldmyoumlikemsomethingmformpain?

3. Youmlookmcomfortable.

4. Yourmbloodmpressuremismu

p.mANS:m2

, Sympatheticmresponsesmtompainmincludemelevatedmbloodmpressuremandmheartmrate.mAndmsincemthemclientm
ismhuggingmampillowmovermthemabdominalmregionmwithmbothmkneesmflexedminmamside-
lyingmposition,mthembestmthingmformthemnursemtomsaymtomthismclientmismWouldmyoumlikemsomethingmformpain
?mThemothermresponsesmaremincorrectmbecausemtheymdomnotmacknowledgemthatmthemclientmismexperiencin
gmpain.

PTS:m1mDIF:mApplymREF:mAssessingmthemClinicalmManifestationsmofmPain

6.AmclientmexperiencingmchronicmpainmasksmthemnursemwhymshemismnotmprescribedmDemerolmlikemshemrece
ivedmwhenmshemhadmamtotalmkneemreplacement.mWhichmofmthemfollowingmshouldmthemnursemrespondmtomt
hismclient?



1. Youmdontmneedmsomethingmthatmstrong.

2. Thatmmedicationmdoesmnotmexistmanymore.

3. Thatmmedicationmdoesmnotmlastmverymlong.

4. Itmcanmcausemyoumhavemhighmbloodmpressure.



ANS:m3

Meperidinemismnomlongermammajormdrugmformacutemormchronicmpainmduemtomitsmshortmanalgesicmdurationm
ofm2mtom3mhoursmandmthempotentialmformaccumulativemtoxicmeffectsmofmitsmmetabolite,mnormeperidine.mTh
embestmresponsemformthemnursemtommakemtomthemclientmwouldmbemthatmmedicationmdoesmnotmlastmverymlo
ng.mThemothermresponsesmareminaccurate.

PTS:1DIF:ApplyREF:OpioidmAnalgesics

7.Amclientmisminformedmthatmamtricyclicmantidepressantmmedicationmismgoingmtomhelpmcontrolmhismchronic
mpain.mThemnursemwouldmexpectmthemphysicianmtomprescribe:




1. Amitriptyline.

2. Baclofen.

3. Gabapentin.

4. Diazepam.

ANS:m1
m



Amitriptylinemismanmantidepressant.mGabapentinmismanmanticonvulsant.mBaclofenmismammusclemrelax
ant.mDiazepammismambenzodiazepine.

PTS:m1mDIF:mAnalyzemREF:mAdjuvantmMedications

8.Amclientmreceivingmaround-the-
clockmmedicationmformterminalmcancermexperiencesmadditionalmpainmwhenmperformingmactivitiesmofmdail
ymliving.mThemnursemrealizesmthismclientmismexperiencing: