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Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank
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WWW.THENURSINGMASTERY.COM, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank p p p p p p p p
Chapter 1. Pain p p
MULTIPLE CHOICE
p p
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
p p p p p p p p p p p p p p p p
attention. The nurse realizes this client understands that pain is important because it:
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1. is a protective system.
p p p
2. includes the automatic withdrawal reflex. p p p p
3. creates sensitivity to pain. p p p
4. helps with healing. p p
ANS: 1 p
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
p p p p p p p p p p p p p p
pmemory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
p p p p p p p p p p p p p p
presponse, it does not explain why pain is important. Pain does not create sensitivity to pain.
p p p p p p p p p p p p p p p
pPaindoes not help with healing.
p p p p p
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
p p p p p p p p p
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse
p p p p p p p p p p p p p p
realizes this client is experiencing:
p p p p p
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 p
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
p p p p p p p p p p p p p p p
painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body
p p p p p p p p p p p p p
position. Modulation is an influencing factor in the perception of pain.
p p p p p p p p p p p
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
p p p p p p p
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing
p p p p p p p p p p p p p p
which type of pain?
p p p p
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 p
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
p p p p p p p p p p p p p p p
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
p p p p p p p p p p p p p
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,pathological pain are both types of pain that result from injury to a nerve or malfunction of the
p p p p p p p p p p p p p p p p p
neuronal transmission process or due to impaired regulation.
p p p p p p p p
PTS:1DIF:AnalyzeREF:Types of Pain p p
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for
p p p p p p p p p p p p p
the nurse to describe this clients pain would be:
p p p p p p p p p
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 p
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild
p p p p p p p p p p p p p p p p p p
to severe pain that lasts longer than 6 months. Referred pain is the result of the transfer of
p p p p p p p p p p p p p p p p p p
pvisceral pain sensations to a body surface at a distance from the actual origin. Neuropathic pain
p p p p p p p p p p p p p p p
pis paroxysmal pain that occurs along the branches of a nerve.
p p p p p p p p p p
PTS:1DIF:ApplyREF:Types of Pain p p
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a
p p p p p p p p p p p p p p p p
side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate.
p p p p p p p p p p p p p
pWhich of the following should the nurse say to this client?
p p p p p p p p p p
1. Can I get you anything?
p p p p
2. Would you like something for pain? p p p p p
3. You look comfortable. p p
4. Your blood pressure is up. p p p p
ANS: 2 p
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the
p p p p p p p p p p p p p
pclient is hugging a pillow over the abdominal region with both knees flexed in a side-lying
p p p p p p p p p p p p p p p
pposition, the best thing for the nurse to say to this client is Would you like something for pain?
p p p p p p p p p p p p p p p p p p
pThe other responses are incorrect because they do not acknowledge that the client is
p p p p p p p p p p p p p
pexperiencingpain. p
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
p p p p p p p p p p
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she
p p p p p p p p p p p p p p p
received when she had a total knee replacement. Which of the following should the nurse
p p p p p p p p p p p p p p p
prespond to this client? p p p
1. You dont need something that strong.
p p p p p
2. That medication does not exist anymore.
p p p p p
3. That medication does not last very long.
p p p p p p
4. It can cause you have high blood pressure.
p p p p p p p
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, ANS: 3 p
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration
p p p p p p p p p p p p p p p p p
of 2 to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine.
p p p p p p p p p p p p p p p p
The best response for the nurse to make to the client would be that medication does not last
p p p p p p p p p p p p p p p p p p
verylong. The other responses are inaccurate.
p p p p p p p
PTS:1DIF:ApplyREF:Opioid Analgesics p
7.A client is informed that a tricyclic antidepressant medication is going to help control his
p p p p p p p p p p p p p p
chronic pain. The nurse would expect the physician to prescribe:
p p p p p p p p p p
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: 1 p
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle
p p p p p p p p p p p
relaxant. Diazepam is a benzodiazepine.
p p p p p
PTS: 1 DIF: Analyze REF: Adjuvant Medications
p p p p p p
8.A client receiving around-the-clock medication for terminal cancer experiences additional
p p p p p p p p p
ppainwhen performing activities of daily living. The nurse realizes this client is experiencing:
p p p p p p p p p p p p p
1. breakthrough pain. p
2. intractable pain. p
3. psychosomatic pain. p
4. acute pain. p
ANS: 1 p
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous,
p p p p p p p p p p p p p
punpredictable, and can be initiated by certain activities such as during activities of daily living.
p p p p p p p p p p p p p p
pIntractable pain is resistant to some or all forms of therapy. Psychosomatic pain is that which
p p p p p p p p p p p p p p p
phasa psychological origin. The client is diagnosed with terminal cancer. Acute pain has a
p p p p p p p p p p p p p p
psudden onset and resolves within 6 months.
p p p p p p
PTS:1DIF:AnalyzeREF:Breakthrough Pain p
9.A client recovering from surgery tells the nurse that she is nauseated and is experiencing an
p p p p p p p p p p p p p p p
increase in pain. Which of the following does this clients symptoms suggest to the nurse?
p p p p p p p p p p p p p p p
1 The client is becoming dependent upon the pain medication.
p p p p p p p p
.
2 The clients pain threshold is lower when experiencing nausea.
p p p p p p p p
.
3 The client is experiencing withdrawal symptoms from pain medication.
p p p p p p p p
.
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