Test Bank for Prioritization, Delegation, and Assignment, 4th Edition by LaCharity, 9780323498289, Covering Chapters 1-22 | Includes Rationales
Prioritization Delegation and Assignment 4th Edition BY: LINDA A. LACHARITY NURSING TEST BANK ISBN: 9780323498289
Prioritization Delegation and Assignment 4th Edition LaCharity Nursing Test Bank
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TEST BANK
Prioritization, Delegation, and Assignment
Candice Kumagai, Linda LaCharity,
4th Edition
9780323498289
,Table of content
Chapter 1: Pain
Chapter 2: Cancer
Chapter 3: Immunologic Problems
Chapter 4: Fluid, Electrolyte, and Acid-Base Balance Problems
Chapter 5: Safety and Infection Control
Chapter 6: Respiratory Problems
Chapter 7: Cardiovascular Problems
Chapter 8: Hematologic Problems
Chapter 9: Neurologic Problems
Chapter 10: Visual and Auditory Problems
Chapter 11: Musculoskeletal Problems
Chapter 12: Gastrointestinal and Nutritional Problems
Chapter 13: Diabetes Mellitus
Chapter 14: Other Endocrine Problems
Chapter 15: Integumentary Problems
Chapter 16: Renal and Urinary Problems
Chapter 17: Reproductive Problems
Chapter 18: Problems in Pregnancy and Childbearing
Chapter 19: Pediatric Problems
Chapter 20: Pharmacology
Chapter 21: Emergencies and Disasters
Chapter 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.
ANS: 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 REF: 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.
ANS: 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 REF: 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
ANS: 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
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, 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:AnalyzeREF: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.
ANS: 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:ApplyREF: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.
ANS: 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 REF: 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.
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