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The nurse who is a member of the palliative care team is assessing a patient. D) One of the patients may be experiencing opioid tolerance. Phantom pain occurs when the body experiences a loss, such as an amputation, and still feels pain in the missing part. $78+$50+$95\$78 + \$50 + \$95 Neuroplasticity is the ability of the peripheral and central nervous systems to change both structure and function as a result of noxious stimuli; this does not likely contribute to the patients pain. $78+$50+$95. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. What is the primary ratiadministering pain medication in this manner? What is the binding energy per nucleon of the europium isotope 2) eventually, increase in vital signs will stabilize despite the persistence of pain. What teaching should the nurse do with this patient? Offering the medication is more beneficial than letting the patient know ibuprofen is available. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. The familys insights do not override the patients self-report. Drug interactions are more likely to occur in older adults because of the higher incidence of chronic illness and the increased use of prescription and OTC medications. Which of the following pain management protocols should the nurse use when caring for this client? A. is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. Which of the following should the nurse include as barriers to end-of life pain management? 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. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. (Select all that apply. D) Your body absorbs less of the drug due to the cancer. View All Products Facebook Question of the Week Chronic pain istreatable. View All Products Facebook Question of the Week If the intervention was ineffective, the nurse should consider other measures. B) One of the patients is exaggerating his or her sense of pain. the mother is afraid that her daughter will overdose. Further teaching may need to be done so the patient can correctly rate the pain. My pain feels like I'm being stabbed by a knife. 1. A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. The patient will be at home monitoring his own pain management, administering his own medication, and monitoring and reporting side effects. One way preventive pain measures can be implemented is by using PRN medications on a more regular or scheduled basis to allow for more uniform pain control. When asked, the patient rates his pain as a 2 at this time usiomy. (Select all that apply. Nurses should understand the effects of chronic pain on patients and families and should beknowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain Similarly, psychosomatic factors and misperception of pain are highly unlikely. Frequency of administration will vary widely according to numerous variables. B) The patients blood pressure 22. Giving the patient alternative methods to control pain is good, but it will not work if the The family member is obviously concerned. The client has never taken hydromorphone before. I will speak to the doctor about your husbands pain control. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. The nurse HOW? Where on the income statement does a company report an unusual gain not expected to occur more often than once every two years or so? temporomandibular disorder. The nurse explains neuropathic pain inwhy. Both patients returned from the same type of surgery 2 hours ago. ATI has the product solution to help you become a successful nurse. A nurse is caring for two client who are 2 hr postoperative following the same procedure. Conveying patienconcerns to the physician is something a nurse does, but is not the best response by the nurse. ID 4817 Quick Delivery from THREE hours The scenario does not indicate the present pain-management orders are not working for this patient. pain management? nurse should consider what characteristic of cancer pain? Which of the following factors should the nurse expect to be similar for both clients? Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. Prescriptions containing guidelines for pain medication administration. 3. Which of the following examples should the nurse include as an example of autonomy? Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards C) Monitor for a paradoxical increase in pain with opioid administration. View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. Creating autonomy is important, but need is a poorly defined concept. It is tempting to expect that people who have had multiple or prolonged experiences with pain will be less anxious and more tolerant of pain than those who have had little experience with pain. Acute pain is usually of recent onset and commonly associated with a specific injury. Feedback: C) The influence of the patients cognition on her pain ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. Ask the following questions: How much pain do you have now? the nurse should teach the patient which of the following? The other answers are incorrect. D) The patient may want to relocate to long-term care in order to have his ADL needs met. However, thnurse would be most concerned about in terms of ensuring safety. Pain medication isents are 2) Fatigue, which can increase sensitivity to pain Help students master more than 180 essential nursing skills from the convenience of an online skills lab. Low levels of pain are easier to reduce or control than intense levels of pain. Which of the following clients should the nurse identify as experiencing neuropathic pain? I suffer from chronic pain anyway, and now it is so much worse. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) A nurse is assessing a clients pain. At the given value of x, find (c) the rate of change of y, (d) the relative rate of change of y, and (e) the percentage rate of change of y. y = f(x) = 9 - 5x; x = 3. Assume this is the true population proportion and that you plan to take a sample survey of 540 American adults to further investigate their behavior. The initial assessment reveals long-term use of opioids for chronic pain. Belief that pain is an expected part of their illness t the patients, As always, the best guide to pain management and administration of analgesic agents in allregardless of age, is what the individual patient says. Feedback: A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. The nurses assessment of the patients pain is a priority. ATI has the product solution to help you become a successful nurse. The nurse se are ineffective,rves as the Over time, the patient is likely to become more tolerant of the dosage. 3) cancer (tumor invasion, nerve compression, bone metastases, associated infections, immobility) It takes less medication to prevent pain than to treat pain. (Select all that apply. C. Equivalent units of production. What makes the pain worse? If the intervention was ineffective, the nurse should consider other measures. 29. Feedback: 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) 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. A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy Determine the effectiveness of nonpharmacological strategies. Which of the following statements should the nurse include? You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. Pain tolerance is the amount of pain a person is willing to bear. in the Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC is problematic. ey are not what the, You are caring for a patient with sickle cell disease in her home. Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. 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 (Select all that apply. D) Case manager Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. A client who has diabetes mellitus and reports bilateral burning foot pain without signs of injury, A nurse is discussing end-of-life pain management with a group of coworkers. C) Type of procedure be performed For patients who have persistent, severe pain that fails to respond to other treatments or who obtain pain relief only with the risk of serious side effects, medication administered by a long-term intrathecal or epidural catheter may be effective. Backache Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- Patients do not become imm indicates thatune to the A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. "What does your pain feel like?" *Assess the quality of the client's pain by asking him to describe how it feels. A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. Cancert/family The client can identify a minty . A comparably equipped car sells this year for$22,500. Fibromyalgia is closelchronic pain. What is the worst/best the pain has been? 32. D) Changes in neurologic function due to the procedure It won't be cheap but money isn't the reason why students in the U.S. seek the services of premium writers. This fact also corresponds to an increased risk of adverse effects. ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. ", A nurse is discussing cutaneous stimulation with a client who has back pain. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. How does the pain affect your sleep? Feedback: Ans: D (Select all that apply.). Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen Feedback: Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. A nurse is assessing a client's cranial nerves. Which of the following statements should the nurse include? * A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. What is your priority assessment? Feedback: Which of the following questions should the nurse ask the client to assess the quality of the pain? Further teaching may need to be doneso the patient can correctly rate the pain. C) Cancer is a chronic kind of pain so the more it hurts the patient, the more medicine we givpatient until it no longer hurts. The latest version of DSM is considered to be the Ans: D Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. B) Long-term intrathecal or epidural catheter A) Assessment for decreased level of consciousness (LOC) Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. Moving into a nursing homeic when a patient is in intractable Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. The family would alson of the Creating autonomy is important, but need is a poorly defined concept. and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. 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. Document associated symptoms (fatigue, depression, nausea, anxiety), ask "What other symptoms do you hae when you are feeling pain?". Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. The patient is physically exhibiting signs and symptoms of pain. . The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. The nurse is caring for a patient with metastatic bone cancer. An admission essay, for example, from a premium writer will definitely get you into any college despite the toughness of the . The client's family asks the nurse about managing the client's pain. Distorting the action potential that is transmitted along the A-delta (d) and C fibers. Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. A) Chronic C) Use the Visual Analog Scale (VAS). Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. Ans: B Frequency of administration will vary widely according to numerous variables. Capnography D) Intramuscular analgesia "You should write down the pain interventions you use and your pain rating before and after. Here are some atomic masses and the neutron mass. D) Neuropathy, Ans: D the nurse providing emotional support are important, but the family must be able to operate the pumpwell as know the side effects of the medication and strategies to manage them. management. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? Are you currently taking any prescription, herbal, or over-the-counter medications? Feedback: B) Ask the patient to write down a number according to the 0-to-10 point pain scale. Ans: B, C, D, E Ask the client to point to the location. ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. Which of the following client actions is an indication that cranial nerve I is intact? C) Placebos are never recommended in the treatment of pain. C) The patient may want to increase his exercise and activities significantly to create distractions. Feedback: refers to how the pain feels: sharp, dull, aching, burning, stabbing, pounding, throbbing, shooting, gnawing, tender, heavy, tight, tiring, exhausting, sickening, terrifying, torturing, nagging, annoying, intense, or unbearable. 3) older adults Dependence is not a concept used to develop a nurscare, and health is too broad a concept to use as a basis for a nursing plan of care. How often does it occur? The nurse should describe what pathophysiologic process? When planning thcare, what do you know about the negative effects of the stress associated with pain? Please ask her about pain again inminutes. Patients requiring opioids for chronic pain, especially cancer patients, need increasing doses to relieve pain. In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. The dose range is usually higher with cancer patients. 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. B) We need to provide pain medications because it is the law, and we must always follow the law. Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. Ans: D C(t)={00.034(t226t+48)for0t2for2t24. B) Reinforce teaching about the pain scale number system. E) Prior effectiveness in relieving the pain nurses best response? Technical analysis in the form of charting. A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. A physician injects 5mg5 \mathrm{mg}5mg of dye into a vein near the heart of a patient and by monitoring the concentration of dye in the blood over a 24-second period, determines that the concentration of dye leaving the heart after ttt seconds ( 0t24)0 \leq t \leq 24)0t24) is given by the function, C(t)={0for0t20.034(t226t+48)for2t24C(t)=\left\{\begin{array}{cl}0 & \text { for } 0 \leq t \leq 2 \\ -0.034\left(t^2-26 t+48\right) & \text { for } 2 \leq t \leq 24\end{array}\right. True or false? D) Modulation The nurse may also verify that the same scale is being used by 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants 2) carefully titrate doses while closely monitoring respiratory status D) Assessment for paradoxical increase in pain 3) stop the opioid and give the antagonist naloxone (Narcan) if respiratory rate is below 8/min and shallow, or the client is difficult to arouse When addressing the patients pain in her plan of nursing carat has e, the patients advocate in obtaining additional pain relief. C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. In which way should the nurse categorize this client's pain? Ans: C The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes. In lints chart. pain that she rates as 8 on a 0-to-10 point scale. Which of the following actions should the nurse take? Feedback: If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. Which of the following actions should the nurse take? A multimodal regimen combines drugs with different underlying mechanisms, which allows lower doses of each of the drugs in the treatment plan, reducing the potential for each to produce adverse effects. ^{152}_{63}Eu C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. (Select all that apply. functional ability and may have to be readmitted to an acute-care facility. Which of the following should the nurse expect to be the same for both patients? The nurse is justified in suspecting what phenomenon in the etiology of thepatients pain. 2) Antianxiety agents: diazepam (Valium) appropriate. When does the tolerance to pain medication become the most significant problem? These are far-reaching statements that conjoin pain management to a general philosophy of medicine that is built upon, and defines a core epistemology (i.e., as a knowledge base, and ways of knowing), anthropology (as consideration of the factors that are involved with the conduct of pain care as a human enterprise), and ethics (as a formal, ask the following questions: What makes the pain better? B) The patient is likely frustrated because she has to be in the hospital. neurosurgical approaches to pain management may be considered. a. Write an expression for the intensity of the observed light as a function of x, letting. Much pain associated with cancer is a direct result of tumor involvement. Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. Last year a new car sold for $24,950. 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? "Your family member has the right to receive effective pain management. 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? Students also viewed Concept Map-AHI Sinus Rhythms - Exam Study Material 4) this pain typically responds to adjuvant medications (antidepressants, antispasmodic agents, skeletal muscle relaxants), Risk factors for undertreatment of pain include the following, 1) cultural and societal attitudes Which of the following is a pain management protocol that should be used by the nurse in this situation? aspects of transmission, perception, or modulation of pain that are listed. (PCA) pump. Ati-Pain Flashcards | Quizlet Ati-Pain 5.0 (1 review) Term 1 / 27 A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Offering spiritual as market environment. A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine PCA pump. Test with =.05\alpha=.05=.05. pain scale. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. B) You may have become immune to the effects of the drug. Although tolerance to the drug will increase, addiction is not dose related, Feedback: Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. Weight Mass Student - Answers for gizmo wieght and mass description. Ans: A This is particularly harmful in patients whose health is already compromised by age, illness, or injury. Ati Video Case Study Pain Management Quizlet | Best Writers. C) You may be developing a mild addiction to the drug. 2) The parenteral route is best for immediate, short-term relief of acute pain. B) Provide psychosocial family support during this emotional experience. Explain. D) Chronic pain can cause intense emotional responses. However, they are not what the nurse would be most concerned about in terms of ensuring safety. As a result,e states that ATI RN LEADERSHIP MANAGEMENT PROCTORED EXAM (0) PROCTOR ATI COMP REVIEW EXAM REVIEW QUESTIONS ati rn comprehensive predictor 2019 form nurse in pediatric unit is preparing to insert an iv catheter for which. Analyze this decision in light of the perceptual matters relating to branding. er the, A) The patients electrolyte levels lable every, B) Do a complete assessment, and give pain medication based on the patients report of pain. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. Osteopenic pain is not a recognized category of pain. The nurse should reply that biofeedback involves: Measuring skin tension and using learned techniques to relieve pain, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Service Management: Operations, Strategy, and Information Technology, Information Technology Project Management: Providing Measurable Organizational Value, NUR379 Evolve: Pediatric Hematology Disorders. The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. what variables should the nurse consider? It affects only those patients who are already debilitated prior to experiencing pain. She states, He was in pain longned ATI pain management post test During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. onale for. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. Ch 12 - Test bank - Chapter 12: Pain Management The nurse who is a member of the palliative care - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. Similarly, psychosomatic factors and misperception of pain are highly unlikely. patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. C) Intermittent Jennifer McNeely D40511762 What elements are included in a pain assessment? 6) Antiemetics: ondansetron (Zofran), Pharmacological Interventions: PCA is a medication delivery system that allows clients to self-administer safe doses of opioids, 1) small, frequent dosing ensures consistent plasma levels Paradoxical effects are not a common phenomenon. 4) helping clients reduce fear and anxiety 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) 5) Prior experiences, which can increase or decrease sensitivity depending on whether clients obtained adequate relief Which of the following statements by the patient refers to pain quality? Asking the patient to write similarly requires the use of English. Drug interactions are more likely to occur in older adults because of the higher incidence illness and the increased use of prescription and OTC medications. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud). Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. Which of the following actions should the nurse take after performing a pain assessment? The unit cost of normal spoilage is the same as the unit cost of abnormal spoilage. Do you agree? Over time, the patient is likely to become more tolerant of the dosage. y little In those situations, neurologic ancologic andd Medication should begin at a low dose and slowly increase until the pain is managed. Use a pain scale specific to each client's cognitive abilities. However, further education and assessment are appropriate.

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