Test Bank Prioritization Delegation and Assignment 4th Edition LaCharityTable of Contents Chapter 1. Pain ..................................................................................................................................................................... 1 Chapter 2. Cancer ..........
Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
Table of Contents
Chapter 1. Pain .....................................................................................................................................................................1
Chapter 2. Cancer .................................................................................................................................................................9
Chapter 3. Immunologic Problems ................................................................................................................................ 16
Chapter 4. Fluid, Electrolyte, and Acid-Base Balance Problems ............................................................................... 23
Chapter 5. Safety and Infection Control ....................................................................................................................... 30
Chapter 6. Respiratory Problems .................................................................................................................................... 36
Chapter 7. Cardiovascular Problems .............................................................................................................................. 45
Chapter 8. Hematologic Problems ................................................................................................................................. 50
Chapter 9. Neurologic Problems .................................................................................................................................... 55
Chapter 10. Visual and Auditory Problems ................................................................................................................... 61
Chapter 11. Musculoskeletal Problems .......................................................................................................................... 68
Chapter 12. Gastrointestinal and Nutritional Problems.............................................................................................. 75
Chapter 13. Diabetes Mellitus.......................................................................................................................................... 81
Chapter 14. Other Endocrine Problems ........................................................................................................................ 87
Chapter 15. Integumentary Problems ............................................................................................................................ 92
Chapter 16. Renal and Urinary Problems ...................................................................................................................... 97
Chapter 17. Reproductive Problems ............................................................................................................................ 104
Chapter 18. Problems in Pregnancy and Childbearing .............................................................................................. 110
Chapter 19. Pediatric Problems..................................................................................................................................... 117
Chapter 20. Pharmacology ............................................................................................................................................. 124
Chapter 21. Emergencies and Disasters ...................................................................................................................... 131
Chapter 22. Psychiatric–Mental Health Problems ..................................................................................................... 137
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. Paindoes not help with healing.
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,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 nurserealizes
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 verypainful.
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 experiencingwhich
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 painthat
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 forthe
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 mildto
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 aside-
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Which of the
following should the nurse say to this client?
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, 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 experiencingpain.
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 shereceived
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.
ANS: 3
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic durationof 2 to
3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The best
response for the nurse to make to the client would be that medication does not last verylong. 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 hischronic
pain. The nurse would expect the physician to prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: 1
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 painwhen
performing activities of daily living. The nurse realizes this client is experiencing:
, 4. acute pain.
ANS: 1
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 hasa 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 nurse that she is nauseated and is experiencing anincrease
in pain. Which of the following does this clients symptoms suggest to the nurse?
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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