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Test Bank for Prioritization Delegation and Assignment 5th Edition LaCharity, Kumagai, and Hosler
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Test Bank for Prioritization Delegation and Assignment 5thEdition LaCharity, Kumagai, and Hosler
,Chapter 1. Pain
MULTIPLE CHOICE
1.A client tells the nursing practitioner that she rarely experiences pain, but when she does, she
seeks medical attention. The nursing practitioner 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.
CORRECT CHOICE: 1
RATIONALE: 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
nursing practitioner realizes this client is experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
CORRECT CHOICE: 1
RATIONALE: 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 nursing practitioner realizes this client is
experiencing which type of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
CORRECT CHOICE: 4
RATIONALE: 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:AnalyzeREF:Types of Pain
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
the nursing practitioner to describe this clients pain would be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
CORRECT CHOICE: 4
RATIONALE: 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 nursing practitioner 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.
CORRECT CHOICE: 2
RATIONALE: 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 nursing practitioner 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 nursing practitioner why she is not prescribed
Demerol like she received when she had a total knee replacement. Which of the following
should the nursing practitioner 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.
, CORRECT CHOICE: 3
RATIONALE: Meperidine is no longer a major drug for acute or chronic pain due to its short
analgesic duration of 2 to 3 hours and the potential for accumulative toxic effects of its
metabolite, normeperidine. The best response for the nursing practitioner to make to the client
would be that medication does not last very long. The other responses are inaccurate.
PTS:1DIF:ApplyREF:Opioid Analgesics
7.A client is informed that a tricyclic antidepressant medication is going to help control his
chronic pain. The nursing practitioner would expect the physician to prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
CORRECT CHOICE: 1
RATIONALE: Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen
is a muscle relaxant. Diazepam is a benzodiazepine.
PTS: 1 DIF: Analyze REF: Adjuvant Medications
8.A client receiving around-the-clock medication for terminal cancer experiences additional pain
when performing activities of daily living. The nursing practitioner realizes this client is
experiencing:
1. breakthrough pain.
2. intractable pain.
3. psychosomatic pain.
4. acute pain.
CORRECT CHOICE: 1
RATIONALE: Breakthrough pain is commonly seen in the advanced stages of cancer. It is
spontaneous, unpredictable, and can be initiated by certain activities such as during activities of
daily living. Intractable pain is resistant to some or all forms of therapy. Psychosomatic pain is
that which has a psychological origin. The client is diagnosed with terminal cancer. Acute pain
has a sudden onset and resolves within 6 months.
PTS:1DIF:AnalyzeREF:Breakthrough Pain
9.A client recovering from surgery tells the nursing practitioner that she is nauseated and is
experiencing an increase in pain. Which of the following does this clients symptoms suggest to the
nursing practitioner?
1 The client is becoming dependent upon the pain medication.
.
2 The clients pain threshold is lower when experiencing nausea.
.
3 The client is experiencing withdrawal symptoms from pain medication.
.
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