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Prioritization Delegation and Assignment 4 Edit 4 4 4 4
ionLaCharity Nursing Test Bank. 4 4 4 4
Prioritization Delegation and Assignment 4 4 4 4
Chapter 1. Pain MULTIPLE CHOICE 4 4 4 4
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medicalattentio
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n. 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. 4 4 4 4
3. creates sensitivity to pain. 4 4 4
4. helps with healing. 4 4
ANS: 1 4
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, mem
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ory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain response, it d
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oes not explain why pain is important. Pain does not create sensitivity to pain. Paindoes not help wi
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th 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 nurserealize
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s this client is experiencing:
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1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 4
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as verypain
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ful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body position.
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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 experiencingwhich t
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ype of pain?
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1. NEURALGIA
2. PATHOLOGICAL
,Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank(LATEST UPDATE)
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3. SOMATIC
4 VISCERAL
.
ANS: 44
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is painthat
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originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
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,Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank(LATEST UPDATE)
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pathological pain are both types of pain that result from injury to a nerve or malfunction of theneu
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ronal transmission process or due to impaired regulation.
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PTS:1DIF:AnalyzeREF:Types of Pain 4 4
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way forthe n
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urse to describe this clients pain would be:
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1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 4
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mildto s
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evere pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral pain
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sensations to a body surface at a distance from the actual origin. Neuropathic pain is paroxysmal pa
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in that occurs along the branches of a nerve.
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PTS:1DIF:ApplyREF:Types of Pain 4 4
5.A client is observed holding a pillow over the abdominal region with both knees flexed in asid
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e-
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Which
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of the following should the nurse say to this client?
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1. Can I get you anything? 4 4 4 4
2. Would you like something for pain? 4 4 4 4 4
3. You look comfortable. 4 4
4. Your blood pressure is up. 4 4 4 4
ANS: 2 4
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the client i
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s hugging a pillow over the abdominal region with both knees flexed in a side-
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lying position, the best thing for the nurse to say to this client is Would you like something for pain?
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The other responses are incorrect because they do not acknowledge that the client is experiencingpai
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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 sherec
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eived when she had a total knee replacement. Which of the following should the nurse respond to t
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his client?
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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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, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank(LATEST UPDATE)
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4. It can cause you have high blood pressure.
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