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The oral route is better for chronic, nonfluctuating pain inadequate. 4) identify the cause of sedation Shher daughters morphine dose that she needs to control her pain is getting higher and higher. How often does it occur? Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. Which of the following statements by the patient refers to pain quality? 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy This regimemotivated by the need to prevent respiratory depression or to eliminate nighttime dosing. A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. During a pain assessment, a nurse asks questions about the quality of an adult clients pain. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? Ans: A 5) to prevent inadvertent overdosing, the client is the only person who should push the PCA button. C. Equivalent units of production. Briefly discuss the implications of the efficient market hypothesis for investment . 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants Overdose is not an inevitable risk. The nurse Feedback: 2) eventually, increase in vital signs will stabilize despite the persistence of pain. A comparably equipped car sells this year for$22,500. aspects of transmission, perception, or modulation of pain that are listed. The other options are all goodof chronic D) The patient may want to relocate to long-term care in order to have his ADL needs met. 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. A nurse is caring for two patients of different cultural backgrounds. 28. D) Intramuscular analgesia patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. The family members will bevering a The requirement for higher drug doses results in a greater drug tolerance, which is a physing doses to relievecal NSAIDs do not act directly on thehery; this 4. List price: $1308\$ 1308$1308 less 20/2520 / 2520/25. The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. D) Administer an analgesic and then reassess. Pain medication isents are Ans: C 4) helping clients reduce fear and anxiety accurate, Your patient is 12-hours post ORIF right ankle. Which of the following statements by the patient refers to pain quality? C) Health promotion and exercise Much pain associated with cancer is a direct result of tumor involvement. What happens to the number of boat makers in the long run? Each samples productivity data are required to be normally distributed. (b) What is the deflation rate? between acute, A patient is experiencing severe pain after suffering an electrical burn in a workplanurse is applying knowledge of the pathophysiology of pain when planning this patients nursing care accident. Although all answers are correct, the mostconclusion would be to reinforce teaching about the pain scale. Key Term ati video case study pain management; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so . dy have been tried, You are caring for a 20-year-old patient with a diagnosis of cerebral palsy who has been admirelief of painful contractures in his lower extremities. A broad definition of pain is whatever the person says it is, existing whenever the experiencing person says it does. which of the following pain Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of the People Grand Canyon University a. D) Provide medication as per patient request and offer relaxation techniques to promote comfort. A nurse is caring for a client who has a prescription for hydromorphone 1 to 2 mg IM every 4 hr as needed for a pain rating of 4 to 6 on a 0 to 10 scale. b) An employer might be liable for the actions of its employee outside the scope of employment if the employer was negligent or reckless in allowing it to occur, or for other reasons. ^ { 152 } _{63} \mathrm { Eu } \quad 151.921742\ \mathrm { u } \quad ^ {1} \mathrm { H } \quad 1.007825\ \mathrm { u }\\ \quad \mathrm { n } \quad 1.008665\ \mathrm { u } 2) administering analgesics around the clock rather than PRN, Undertreatment of pain is a serious complication and may lead to, increased anxiety with acute pain and depression with chronic pain. Feedback: Social support A) Over time you become more tolerant of the drug. D) Its not unusual for patients to misreport pain to get our attention when we are busy. Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. ATI Skills Module 3.0 - Pain Management Flashcards | Quizlet ATI Skills Module 3.0 - Pain Management 5.0 (5 reviews) Term 1 / 7 A nurse is preparing to assess the pain level of a 4-year-old child. The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. Distorting the action potential that is transmitted along the A-delta (d) and C fibers. Which of the following pain management protocols should the nurse use when caring for this client? If the intervention was ineffective, the nurse should consider other measures. ? The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. B. Identifiable units of production. D) Dependence and health What would be the nurses best response? Feedback: Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. Which of the following statements should the nurse make? Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. Determine what type of precaution should be set for the following disease: wound infections. Are you currently taking any prescription, herbal, or over-the-counter medications? Ask the client to point to the location. I will speak to the doctor about your husbands pain control. Pharmacological Interventions: Strategies specific for relieving chronic pain include the about interventions, plus: 1) administering long-acting or controlled-release opioid analgesics (including the transdermal route) Older adults are not immune to the negative effects of stress. D) Changes in neurologic function due to the procedure Long-term bonds and common stock are constant at$5 million and $10 million, respectively. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, Osteopenic pain is not a recognized category of pain. Which of the following statements should the nurse include? Which of the following actions should the nurse take after performing a pain assessment? market environment. Have the client rate their pain using a standard scale. 3. Use a pain scale specific to each client's cognitive abilities. Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. a. A) Intravenous analgesia During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. Test. a) An employer can never be liable for the actions of its employee outside the scope of employment. Ans: B, C, D, E Ans: B Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. Your order is written Before any paper is delivered to you, it first go through our strict checking process in order to ensure top quality. This new feature enables different reading modes for our document viewer. D) The patient will likely benefit more from distraction than pharmacologic interventions. A nurse is caring for a client who reports muscle pain to the lower back that has persisted for over a year after a motor-vehicle crash. The nurse caring for a 91-year-old patient with osteoarthritis is reviewing the patieis on a variety of medications prescribed by different care providers in the community. B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. Offering spiritual as appropriate. temporomandibular disorder. A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is (ibuprofen) ordered every 6 hours. The client reports taking an opioid prescription for chronic pain. Backache 3) prevent gastric upset by administering the medication with food or antacids A) Use a chart with English on one side of the page and the patients native language on the other so hecan rate his pain. B) Reinforce teaching about the pain scale number system. 47 Care of the patient with a cardiovascu, Chapter 11 Pain Management Prep U 40 questions. With the knowledge delivered from 30 newly formatted modules each featuring tutorials, step-by-step demonstration videos, checklists, quick references, animations, pre- and post-tests, challenge cases, remediation, and more students will enter the on-site skills . based on the clients pain and doctors orders decide on what kind and how much prescripted pain medication should be administered; administer analgesic medications before the pain is severe Modulation occurs in the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli. E) Prior effectiveness in relieving the pain Asking the patient to write similarly requires the use of English. My pain feels like I'm being stabbed by a knife Stimulates the skin with a mild electric current when pain occurs Transcutaneous electrical nerve stimulation. Feedback: ), Muscular pain ATI: Pain Management Flashcards | Quizlet ATI: Pain Management 4.9 (12 reviews) Term 1 / 7 During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Opioid tochronic pain treatment and would not likely apply to these patients. Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. Which of the following questions should the nurse ask the client to assess the quality of the pain? What is your priority assessment? Which of the following actions should the nurse take? its three formsweak, semistrong, and strongand briefly discuss the degree to Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Which of the following can the nurse be charged with? View All Products Facebook Question of the Week RN ATI Capstone Proctored Comprehensive Assessment B Home > Product View Cart RN ATI Capstone Proctored Comprehensive Assessment B This assessment is a part of the ATI Capstone Package and can not be purchased separately. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. How should the nurse best respond to this assessment finding? However, thnurse would be most concerned about in terms of ensuring safety. before he got cancer because he broke his back about 20 years ago. production and consumption in 2000and in 2010. Teaching the family the theory of pain management or the use of alternative therapies and the nurse providing emotional support are important, but the family must be able to operate the pump as well as know the side effects of the medication and strategies to manage them. patients advocate in obtaining additional pain relief. Child and Early Adolescent Development and Psychology (ELM 200), Organizational Theory and Behavior (BUS 5113), Fundamentals of Information Technology (IT200), Foundation in Application Development (IT145), Ethical and Legal Considerations of Healthcare (IHP420), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), 315-HW6 sol - fall 2015 homework 6 solutions, Ch. A nurse is providing end-of-life care for a client who is unresponsive and near death. What is the primary ratiadministering pain medication in this manner? A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. The nurse may also verify that the same scale is being used by Which of the following actions should the nurse take? A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. Creating autonomy is important, but need is a poorly defined concept. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. at aspect of. Objective data: Behaviors complement self-report and assist in pain assessment of nonverbal clients, 1) facial expressions (grimacing, wrinkled forehead), body movements (restlessness, pacing, guarding) ATI pain assessment - Ati virtual assignment Ati virtual assignment University Winston-Salem State University Course Adult Health Nursing I (NUR 3102) Uploaded by Ttrock Childs Academic year2021/2022 Helpful? A) Chronic for ati pain management flashcards on Quizlet. Acute pain indicates that damage or injury has occurred. $78+$50+$95\$78 + \$50 + \$95 B) The patient is likely frustrated because she has to be in the hospital. Feedback: The client's report of pain is the most reliable diagnostic measure of pain. safe manner. Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. It takes less medication to prevent pain than to treat pain. ATI has the product solution to help you become a successful nurse. Which of the following statements by the patient refers to pain quality? The nurse educates the mother about whher pain management? Therefore, physiologic indicators may not be an accurate measure of pain over time, Nonpharmacological Pain Management: Cutaneous (skin) stimulation - transcutaneous electrical nerve stimulation (TENS), heat, cold, therapeutic touch, and massage, 1) interruption of pain pathways Ans: B Explain. The nurse should monitor the client for which of the following adverse effects? Which of the following pain management protocols should the nurse use when caring for this client? What principle should guide the nurses use of placebusing placebos in theos in This patient does not have an adthe familys concerns are secondary to those of the patient. 2) carefully titrate doses while closely monitoring respiratory status Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. Electrolyte values, blood pressure, and hydration status are should assess for any not what you Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. HOW? 23. 61 Comments Please sign inor registerto post comments. Little evidence indicates that patients with cancer become addicted to the opioid medications. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. This fact also corresponds to an increased risk of adverse effects. Ans: D 2) surgery Which of the following pain assessment tools should the nurse use? One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. gabapentin (Neurontin). A nurse provides a client with the opportunity to take an intramuscular injection or oral medication for pain relief. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory myofascial pain syndrome. nonsteroidal anti-inflammatory drug (NSAID) given together. C(t)={00.034(t226t+48)for0t2for2t24. In which way should the nurse categorize this client's pain? is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. A) Depression The nurse should describe what pathophysiologic process? At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. This method also reduces, but does not eliminate, adverse effects of the opioid. ATI pain management post test During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Which of the following actions should the nurse plan to take to evaluate the clients' pain control? (Select all that apply. 4.9/5. Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. patientisinsomuchpainthathecannotinstitutereliablealternativemethods. A nurse is caring for two client who are 2 hr postoperative following the same procedure. Cancer pain can be either acute or chronic, and you do not tell a family member that you are going to keep increasing the dosage of the medication until it doesnt hurt anymore. epidural catheter may be effective. What is the nurses best response? Nonpharmacological interventions indeed reduce pain and their use is not limited to practitioners outside the healthcare team. The unit cost of normal spoilage is the same as the unit cost of abnormal spoilage. Do you agree? "I will keep the morphine bottle in a locked cabinet in my kitchen. 12 Test Bank, Marketing Reading-Framework for Marketing Strategy Formation, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory. The other answers are incorrect. nurse should consider what characteristic of cancer pain? When asked, the patient rates his pain as a 2 at this time usiomy. 4) monitor for bleeding with long-term NSAID use, Pharmacological Interventions: Opioid analgesics, such as morphine sulfate, fentanyl (Sublimaze), and codeine, are appropriate for treating moderate to sever pain (postoperative pain, myocardial infarction pain, cancer pain), 1) Managing acute severe pain with short-term (24-48 hr) around-the-clock administration of opioids is preferable to following a PRN schedule Feedback: Investigating new alternative pain-management options that are outside the United States is unrealistic and may even be dangerous advice. This exquisite Edwardian single-family house has a 1344 Sqft main. (TENS) The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. D) Your body absorbs less of the drug due to the cancer. A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. Database Systems Design Implementation and Management 9th Edition Coronel Solution Manual, Lesson 17 Types of Lava and the Features They Form, Logica proposicional ejercicios resueltos, 1-2 Module One Activity Project topic exploration, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? The dose range is usually higher with cancer patients. subsequent to this process. both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. Write an expression for the intensity of the observed light as a function of x, letting. Wellness & Self-Care. pain scale. The nurse should not assume thelerance is associated with A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. 32. C) Monitor for a paradoxical increase in pain with opioid administration. Each quiz which nursing fundamentals study of quizlet learn ati teas v tests require you can to practice test day filled with? The patient asks the nurse to describe how this pain-relief method works. How long does it last? In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. The client reports unbearable pain after attempting six demand doses within the last hour. When planning thcare, what do you know about the negative effects of the stress associated with pain? Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. Ans: A In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. Although all answers are correct, the most accurate conclusion would be to reinforce teaching about the pain scale. Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. D) To eliminate the potentially adverse effects of the opioid $$ A Action should be taken unless there are demonstrable extenuating circumstances. Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. ATI has the product solution to help you become a successful nurse. B) Pain medication can be increased when the pain becomes intense. However, further education and assessment are appropriate. Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. Feedback: Depression is associated with chronic pain and can be exacerbated by the effects of chronic fatigue. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. 8) Culture, which may influence how clients express pain or the meaning they give to pain, is whatever the person experiencing it says it is, and it exists whenever the person says it does, use anatomical terminology and landmarks to describe location "Where is your pain? Electrolyte values, blood pressure, and hydration status are not what you need to assess prior to giving a first dose of narcotics. B) You may have become immune to the effects of the drug. Books You don't have any books yet. Feedback: Nurses should understand the effects of chronic pain on patients and families and should be knowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain management. D) Use the services of a translator each time you assess the patient so you can documenpain rating. It is ongoing or recurs frequently, lasting longer than 6 months and persisting beyond tissue healing, 1) nociceptive pain arises from damage to or inflammation of tissue other than that of the peripheral and central nervous systems, 1) neuropathic pain arises from abnormal or damaged pain nerves The nurse should not assume the patient is exaggerating the pain because the patient is the best authority of his or her existence of pain, and definitions for pain state that pain is whatever the person says it is, existing whenever the experiencing person says it does. The balance sheet items that vary directly with sales and the profit margin are as follows: The dividend payout rate is 50 percent of earnings, and the balance in retained earnings at the end of 20X1 was$33 million. Feedback: Which of the following is a pain management protocol that should be used by the nurse in this situation? Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. a. a. Broad agreement is that there are no individuals for whom and no condition for which placebos are the recommended treatment. pain can be either acute or chronic, and you do not tell a family member that you are going to keepincreasing the dosage of the medication until it doesnt hurt anymore. 3) explaining misconceptions about pain Similarly, psychosomatic factors and misperception of pain are highly unlikely. Patients do not become immune to the effects of the drug, and the body does not absorb less of the drug because of the cancer. Feedback: The nurse serves as the patients advocate in obtaining additional pain relief. Which of the following factors should the nurse expect to be similar for both clients? Have an opioid antagonist available during the administration. 39. Stress is less pronounced in older adults because they generally have more sophisticated coping skills than younger adults. Ans: C C) The patients are likely experiencing a variance in vasoconstriction. 5) use a sedation scale in addition to a pain rating scale to assess pain, especially when administering opioids, Pharm made easy 4.0: Introduction to Pharmaco, ATI Fundamentals - Chapter 41 - Pain manageme, critical thinking cards for ATI Proctored exam, ATI Ch 43 Principles of Antimicrobial Therapy, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Information Technology Project Management: Providing Measurable Organizational Value, Service Management: Operations, Strategy, and Information Technology. Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain 12 Test Bank - Gould's Ch. self-care and safety are the priorities. What is the nurses most plausible rationale for underspatients different perceptions of pain? used to prevent pain so pain medication is not increased when pain becomes intense. Which of the following responses should the nurse take? If PCA is to be used in the patients home, the patient and family are taught about the operatiopump as well as the side effects of the medication and strategies to manage them. A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. The patient asks the nurse to describe how this pain-relief method works. Indications -pts report of pain -nonverbal cues-crying, groaning, restlessness, combativeness, striking out, refusing care, and facial expressions of fear -guarding of painful area -increased HR, BP, respirations Outcomes/Evaluation Pt will have decreased pain or be pain free Potential Complications -allergic reaction to treatment -abuse of pain