You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. As always, the best guide to pain management and administration of analgesic agents in all patients, regardless of age, is what the individual patient says. Which of the following statements by the client refers to pain quality? C) Placebos are never recommended in the treatment of pain. 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. The client's family asks the nurse about managing the client's pain. Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. 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. In those situations, neurologic ancologic andd For expository writing, our writers investigate a given idea, evaluate its various evidence, set forth interesting arguments by expounding on the idea, and that too concisely and clearly. so others may care for him is an intervention that does not address the issue of pain. used to prevent pain so pain medication is not increased when pain becomes intense. trigeminal neuralgia. Capnography (Select all that apply. Broad agreement is that there are no individuals for whom and no condition for which placebos are the recommended treatment. Cancert/family The family member is obviously concerned. She states, He was in pain longned Older people may respond differently to pain than younger people. ATI Proctored Comprehensive B 15 Hour Exam 80 Benchmark 653 On Your Screen Ati proctored comprehensive b 15 hour exam 80 School Bryant and Stratton College, Milwaukee Course Title NURS 301 Uploaded By b00543232 Pages 28 Ratings 80% (5) This preview shows page 7 - 9 out of 28 pages. View All Products Page Link Facebook Question of the Week. 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? 2) eventually, increase in vital signs will stabilize despite the persistence of pain. nurses best response? B) Autonomy and need Feedback: 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. Prior debilitation does not have to be present in order for stress to cause potential harm. Opioid tolerance is associated with chronic pain treatment and would not likely apply to these patients. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care. 3) neuropathic pain is usually intense, shooting, burning, or described as "pins and needles" Which of the following should the nurse know in order to use this pain scale? A nurse is reviewing information for several clients on the unit. Different people feel different degrees of pain from similar stimuli. A. should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? ), Muscular pain Culture $$ What is thee nurse why he has had Ans: A Explain. Older people may respond differently to pain than younger people. 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, D) The patient will likely benefit more from distraction than pharmacologic interventions. (Select all that apply. Is that required condition violated? The nurse may also verify that the same scale is being used by the patient and caregiver to promote continuity. Feedback: C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. (review sheet 4) Week 1 A&P Lab with all answers provided Module 5 Family as Client Public Health Clinic-1 Rsch 201 db 2 - Grade: A The Deep Dive Answers - jdjbcBS JSb vjbszbv 12 Test Bank - Gould's Ch. A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. 4) clients should let the nurse know if using the pump does not control the pain eful to prevent, B) Frequently, female patients and younger patients need higher doses of opioids to be comfortable. It affects only those patients who are already debilitated prior to experiencing pain. The nurse is caring for a male patient whose diagnosis of bone cancer is causing severe pain. The nurse should monitor the client for which of the following adverse effects? Depression is associated with chronic pain and can be exacerbated by the effects of chronic fatigue. C) The patients are likely experiencing a variance in vasoconstriction. The patient asks does it still feel like my leg is attached, and why does it still hurt? Ans: D Which of the following statements by the patient refers to pain quality? 4) helping clients reduce fear and anxiety The nurse knows that the child is at greatest risk for which acid- a. acidosis b. A) Self-care and safety analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Which of the following actions should the nurse take after performing a pain assessment? you best apply? production and consumption in 2000and in 2010. NSAIDs do not act directly on the aspects of transmission, perception, or modulation of pain that are listed. How should you most accurately assess this patients pain? Similarly, psychosomatic factors and misperception of pain are highly unlikely. The nurse se are ineffective,rves as the A) Assessment for decreased level of consciousness (LOC) View All Products Facebook Question of the Week A) Remind the patient that he is indeed experiencing pain. 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. A) I didnt know that. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. "I will keep the morphine bottle in a locked cabinet in my kitchen. need to assess prior to giving a first dose of narcotics. (PCA) pump. B) One of the patients is exaggerating his or her sense of pain. Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is B) Ask the patient to write down a number according to the 0-to-10 point pain scale. C) Team leader View All Products Facebook Question of the Week A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. Consider each client's cultural preferences. 3) Tricyclic antidepressants: amitriptyline (Elavil) Which of the following should the nurse expect to be the same for both patients? (Select all that apply. 7) diagnostic or treatment procedures (injection, intubation, radiation), Factors that affect the pain experience include the following, 1) Age: infants cannot verbalize or understand their pain, older adult clients may have multiple pathologies that cause pain and limit function Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- The client reports unbearable pain after attempting six demand doses within the last hour. Which of the following pain assessment tools should the nurse use? Round to the nearest cent. View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. D) Placebos require the active participation of the patients family. The elderly have slowed metabolism and excretion, and, therefore, the elderly should receive a lower dose of pain medication given over a longer period time, which may help to limit the potential for confusion. Which of the following actions should the nurse take? The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. 1) Anticonvulsants: carbamazepine (Tegretol) ID 4817 Quick Delivery from THREE hours The other options are all goodof chronic 4) It is essential to monitor and intervene for adverse effects of opioid use: constipation, orthostatic hypotension, urinary retention, nausea/vomiting, sedation, respiratory depression, Pharmacological Interventions: Adjuvant analgesics enhance the effects of nonopioids, help alleviate other symptoms that aggravate pain (depression, seizures, inflammation), and are useful for treating neuropathic pain, Adjuvant medications include: What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? 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. Much pain associated with cancer is a direct result of tumor involvement. Much pain associated with cancer is a direct result of tumor involvement. B) Chronic illness Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. 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. A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. One way preventive pain measures can be implemented is by using PRN medications on a more reor scheduled basis to allow for more uniform pain control. ", A nurse is discussing cutaneous stimulation with a client who has back pain. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. Books You don't have any books yet. Patients requiring opioids for chronic pain, especially cancer patients, need increasing doses to relieve pain. If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? B) Patients comorbid conditions 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). "On a scale from 0-10, how do you rate your pain?". Giving the patient alternative methods to control pain is good, but it will not work if the 2) Antianxiety agents: diazepam (Valium) Offering the medication is more beneficial than letting the patient know ibuprofen is available. Which of the following provider prescriptions for initial pain relief should the nurse question? 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. 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) Provide psychosocial family support during this emotional experience. 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. A nurse is caring for a client who has a prescription for heat therapy for knee pain. Ans: B Pain associated with cancer may be acute or chronic. Modulation occurs in the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. 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 . QSEN competency of safety, what is the nurse most concerned about with this patient? Use of a predetermined overhead rate. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Which of the following examples should the nurse include as an example of autonomy? Check the IV sit and PCA pump for proper functioning. The nurse is assessing a patients pain while the patient awaits a cholecystecthesitant to move, and grimacing. How does the pain affect your sleep? 61 Comments Please sign inor registerto post comments. Ice helps decrease swelling and pain. 5) Prior experiences, which can increase or decrease sensitivity depending on whether clients obtained adequate relief 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 29. is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. The nurse suspects: facet syndrome. Jennifer McNeely D40511762 What elements are included in a pain assessment? The client can identify a minty . 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain Ati Video Case Study Pain Management Quizlet | Best Writers. Of the listed options, a language comparison chart is most plausible. 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 Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. Does it radiate anywhere else?" epidural catheter may be effective. Give more than two choices. Feedback: Select all that apply. Use a pain scale specific to each client's cognitive abilities. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . Ask the following questions: How much pain do you have now? D) Your body absorbs less of the drug due to the cancer. C) Monitor for a paradoxical increase in pain with opioid administration. 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. Older adults are not immune to the negative effects of stress. "You should write down the pain interventions you use and your pain rating before and after. Pain tolerance is the amount of pain a person is willing to bear. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. Which of the following statements by the client indicates an understanding of the instructions? If the intervention was ineffective, the nurse should consider other measures. Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. A) Medication should be taken when pain levels are low so the pain is easier to reduce. Test with =.05\alpha=.05=.05. (Select all that apply. for ati pain management flashcards on Quizlet. b. 3) prevent gastric upset by administering the medication with food or antacids Ans: B A) Monitor for signs of drug toxicity due to a decrease in metabolism. 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. Ans: C Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. B) Pain medication can be increased when the pain becomes intense. ATI - Comprehensive Physical Assessment of an Adult Pretest. e the, D) Does the increasing medication dosage concern you? 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. (Select all that apply. 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. What would be the nurses best response? its three formsweak, semistrong, and strongand briefly discuss the degree to Which of the following methods should the nurse include? 2) lack of knowledge Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? The nurse ATI Leadership Management Proctored Exam (CHECK THE LAST PAGE FOR DETAIL SOLUTION) 5. negative airflow pressure (6-12 exchanges/hr) surgical mask when transporting. This method also reduces, but does not eliminate, adverse effects of the opioid. Ans: C 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 . functional ability and may have to be readmitted to an acute-care facility. patientisexaggeratingthepainbecausethepatientisthebestauthorityofhisorherexistenceofpain, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. The dose range is usuallyhigher with cancer patients. After assessing the client's pain, which of the following actions should the nurse take? A The client has never taken hydromorphone before. How do you calculate the percentage yield of a chemical reaction? Which of the following can the nurse be charged with? A) Placebos require a higher level of informed consent than conventional care. A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. Ati Video Case Study Pain Management Quizlet 1 (888)814-4206 1 (888)499-5521 591 Finished Papers 14 Customer reviews Fast and efficient Paraphrasing Research Paper Research Proposal Scholarship Essay Speech Presentation Statistics Project Term Paper Thesis Thesis Proposal Nursing Management Business and Economics Ethnicity Studies +90 4) Cognitive function: clients who are cognitively impaired may not be able to report pain or report it accurately Ans: C C) The patient likely has an underlying psychiatric disorder. Feedback: What is the worst/best the pain has been? Feedback: It takes less medication to prevent pain than to treat pain. C(t)={00.034(t226t+48)for0t2for2t24. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. 1. Document associated symptoms (fatigue, depression, nausea, anxiety), ask "What other symptoms do you hae when you are feeling pain?". NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the peripis a central component of the pathophysiology of transduction. 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 that accompany the procedure. final exam review pharmacology ati flashcards quizlet. Students also viewed Concept Map-AHI Sinus Rhythms - Exam Study Material (Select all that apply.). : 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). Little evidencepatients with cancer become addicted to the opioid medications. It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. tanding the Offering themedication is more beneficial than letting the patient know ibuprofen is available. The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve pain. c) an employer is always liable for the actions of its employee outside the scope of employment, d) an employer can never be liable for the actions of its employee unless they are relatives, Exercise 13.25 required you to conduct a t-test of the difference between two means. onale for. C) When having to report the patients addiction to her physician 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. C) Health promotion and exercise Which of the following manifestations is an objective indicator of pain? Self-report using standardized pain scales is useful for clients over the age of 7 years. You may be worried that your teacher will know that you took an expert's assistance to . What principle should guide the nurses use of placebusing placebos in theos in Osteopenic pain is not a recognized category of pain. ey are not what the, You are caring for a patient with sickle cell disease in her home. Chronic pain is constant or intermittent pain that persistste pain ATI Pain Management Posttest Flashcards | Quizlet ATI Pain Management Posttest 5.0 (2 reviews) Term 1 / 7 A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. Overdose is not an inevitable risk, A) Use a pain scale to assess the patients pain, and let the patient know ibuprofen is avaihours if she needs it. Radiography reveals an ulnar fracture. D) Chronic pain can cause intense emotional responses. 4. Ask the client to point to the location. ATI has the product solution to help you become a successful nurse. The three classes of analgesics are nonopioids, opioids, and adjuvants, Pharmacological Interventions: Nonopioid analgesics (acetaminophen, nonsteroidal anti-inflammatory drugs [NSAIDs], including salicylates) are appropriate for treating mild to moderate pain, 1) be aware of hepatotoxic effects of acetaminphen How often does it occur? C) Psychosomatic processes A nurse is evaluating a group of clients who are experiencing pain. Which of the following questions should the nurse ask the client to assess the quality of the pain? Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1).
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