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Test Bank for Prioritization Delegation and Assignment 5th Edition LaCharity, Kumagai, and Hosler R359,11
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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 5th Edition LaCharity, Kumagai, and Hosler

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  • June 30, 2024
  • February 15, 2025
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Test Bank for Prioritization Delegation and Assignment 5th
Edition By LaCharity, Kumagai, and Hosler

,Chapter 1. Pain
MULTIPLE CHOICE
1. A client informs the nurse practitioner that she seldom experiences pain, but when she does, she
promptly seeks medical care. The nurse practitioner recognizes that this behavior indicates the client
understands the significance of pain 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 serves as a protective mechanism, utilizing reflexes, memory, and
avoidance to guard against potentially harmful behaviors. While the automatic withdrawal
reflex is a component of the pain response, it does not fully explain the importance of pain. Pain
does not increase sensitivity to itself, nor does it directly aid in the healing process. Its primary
significance lies in its role as a warning system, alerting the body to potential harm and
prompting protective actions.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
2. A client reports that the sensation of bed sheets against their skin is extremely painful.
The nurse practitioner recognizes that this client is likely experiencing:


1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
CORRECT CHOICE: 1
RATIONALE: Allodynia or hyperalgesia occurs when a mild or non-painful stimulus is perceived
as intensely painful. Kinesthesia refers to the awareness of body movement, while proprioception
pertains to the sense of body position. Modulation influences how pain is perceived and processed.
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3.A client is complaining of severe abdomen pain. The nursing practitioner realizes this client is
experiencingwhich 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 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 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 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 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 experiencingpain.
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 shereceived 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 durationof 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 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 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 musclerelaxant. 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 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 post-surgical client reports to the nurse practitioner feelings of nausea and increased pain. What
do these symptoms indicate to the nurse 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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