Preview text. ey are not what the, You are caring for a patient with sickle cell disease in her home. 18. A) Teach the family the theory of pain management and the use of alternative therapies. 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 Ans: B 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. The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve 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. Find the net cost (invoice amount) for the following. Offering spiritual guidance would not be a priority at this point and morphine is not the only medication administered by PCA. This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. A) Medication should be taken when pain levels are low so the pain is easier to reduce. A nurse is assessing a clients pain. B) You may have become immune to the effects of the drug. A nurse is providing end-of-life care for a client who is unresponsive and near death. Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. ", A nurse is discussing the use of heat therapy with a newly licensed nurse. D) The patient will likely benefit more from distraction than pharmacologic interventions. D) When the family becomes concerned about increasing dosage (ibuprofen) ordered every 6 hours. C) Psychosomatic processes 5) Prior experiences, which can increase or decrease sensitivity depending on whether clients obtained adequate relief Suppose that the price of oil rises. Mansfield Corporation had 20X1 sales of $100 million. Offering themedication is more beneficial than letting the patient know ibuprofen is available. In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. 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. ATI has the product solution to help you become a successful nurse. diction and, You are admitting a patient to your rehabilitation unit who has a diagnosis of persistent, sevAccording to the patients history, the patients pain has not responded to conventional approaches to painere pain. What makes the pain worse? 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. However, they are not what the nurse would be most concerned about in terms of ensuring safety. B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. 2) requires an ability to concentrate, Nonpharmacological Pain Management: Acupuncture, vibration or electrical stimulation via tiny needles inserted into the skin and subcutaneous tissues at specific points, 1) Reduction of pain stimuli in the environment Which of the following statements should the nurse include? Comparing radial . ATI PEDIATRIC Proctored Exam (New 2020 / 2021) 1. When planning thcare, what do you know about the negative effects of the stress associated with pain? Ans: A 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. (PCA) pump. 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 Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. 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. Cancert/family How should the nurse best respond to this assessment finding? Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. You are frequently assessing an 84-year-old womans pain after she suffered a humeral When applying the nursing process in pain management for a patient of this age, what principle shouldfracture in a fall. The. No research indicates that women and/or people need higher doses of morphine to be comfortable. What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? Prior debilitation does not have to be present in order for stress to cause potential harm. A nurse is reviewing information for several clients on the unit. For patients who have persistent, severe pain that fails to respond to other treatmentsrelief only with the risk of serious side effects, medication administered by a long-term intrathecal or or who obtain pain Stress is less pronounced in older adults because they generally have more sophisticated coping skills than younger adults. Ans: B The patient has developed a tolerance to her usual paine has been joint B) Chronic illness Feedback: Fibromyalgia is closelchronic pain. C(t)={00.034(t226t+48)for0t2for2t24. C) The patients allergy status A) Self-care and safety Light of wavelength is used in a Michelson interferometer. Pain medication isents are Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) For that problem, though, his painmedicine wasnt just raised and raised. If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? The patient is physically exhibiting signs and symptoms of pain. trigeminal neuralgia. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Feedback: The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. temporomandibular disorder. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. This scale is useful for adult patients who have cognitive impairments. A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. 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. It affects only those patients who are already debilitated prior to experiencing pain. A nurse is reviewing discharge instructions for a client who has a prescription for morphine oral solution 10 to 20 mg every 4 hr PRN. 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. All the jeopardy - 89 cards; Allergic Response in the OR - 43 cards; CCTC NUR 101 Chap 35 Nursing Fundamentals Pain - 41 cards; CCTN exam review - 24 cards; CDC Final II Gout - 16 cards; CDC Final II Low Back Pain . Creating autonomy is important, but need is a poorly defined concept. ATI questions 231 1-3 Discussion- Population, Samples, and Bias Intro SA PAG Aaral NG WIKA (Ang Pagtatamo at Pagkatuto ng Wika) Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE Biomolecules A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Ans: B Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. B) Assessment for respiratory depression [Show more] Preview 3 out of 26 pages Ans: A It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. $78+$50+$95\$78 + \$50 + \$95 It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. A nurse is caring for two client who are 2 hr postoperative following the same procedure. A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. 2) clients have less lag time between identified need and delivery of medication, which increases their sense of control and may decrease the amount of medication they need The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. Acute pain chronic pain Nociceptive pain: somatic, visceral, and cutaneous Neuropathic pain Risk factors: undertreatment of pain, populations at risk, causes of pain, factors that affect pain experience Pain threshold Pain tolerance Focused pain assessment: OLDCARTS to determine location, quality, intensity, timing, setting, associated what variables should the nurse consider? The requirement for higher drug doses results in a greater drug tolerance, which is a physical dependency as opposed to addiction, which is a psychological dependency. (pq)(pq)(p\rightarrow \neg q)\land(p\land q) 2) surgery C. "My pain feels like I'm being stabbed by a knife. about. 5. C. Equivalent units of production. The family member is obviously Which of the following statements by the patient refers to pain quality? Pain Management ATI Flashcards | Quizlet Pain Management ATI 5.0 (8 reviews) Term 1 / 7 A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. onale for. A) How the presence of pain affects patients and families 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. self-care and safety are the priorities. Feedback: Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. The family members will bevering a 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? $$ D) Intramuscular analgesia A) Cancer pain is often related to the stress of the patient knowing she has cancer and rerelatively low doses of pain medications along with a high dose of anti-anxiety medications, The mother of a cancer patient comes to the nurse concerned with her daughters safety. Which of the following findings indicate an increased level of discomfort? ), Stress The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. What is thee nurse why he has had Which of the following should the nurse know in order to use this pain scale? Bedrooms. final exam review pharmacology ati flashcards quizlet. If the intervention was ineffective, the nurse should consider other measures. Which of the following actions should the nurse plan to take? Feedback: The nurse should apply heat therapy to the client's knee for how long? 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 Ask "What does the pain feel like?" Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. "What does your pain feel like?" *Assess the quality of the client's pain by asking him to describe how it feels. 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. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. Is that required condition violated? C) The influence of the patients cognition on her pain A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. When does the tolerance to pain medication become the most significant problem? The otherng person "My pain feels like I'm being stabbed by a knife.". 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. The nursing care of patients who undergo procedures for the relief of chronic pain depends on the typeof procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. Seventy-two percent of American adults have read a book within the past year. Which of the following should the nurse expect to be the same for both patients? Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. A nurse is caring for two patients of different cultural backgrounds. ATI student name skill name lauren moffat pain management: priority action for dressing changes review module chapter 55 description of skill pain assessment is DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Courses You don't have any courses yet. You cannot usually treat pain the patient denies having if the orders are PRN only. The requirement for higher drug doses results in a greater drug tolerance, which is a physing doses to relievecal Ans: D B) The patient is likely frustrated because she has to be in the hospital. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the peripis a central component of the pathophysiology of transduction. A) Endorphin levels may vary between patients, affecting the perception of pain. Which of the following actions should the nurse take? A) Remind the patient that he is indeed experiencing pain. aspects of transmission, perception, or modulation of pain that are listed. 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause Which of the following responses should the nurse take? Discuss each of these separately. should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? The scenario does not indicate the present pain-management orders are not working for this patient. 3) fear of addiction However, further education and assessment are appropriate. Frequency of administration will vary widely according to numerous variables. At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. The family would also need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endanger the patient. This patient does not have an addiction and the familys concerns are secondary to those of the patient. The oral route is better for chronic, nonfluctuating pain Which of the following statements by the patient refers to pain quality? Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife pain management? View All Products Facebook Question of the Week with the preventive pain method when PRN medications are given around the clock. Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? Action should be taken unless there are demonstrable extenuating circumstances. Similarly, psychosomatic factors and misperception of pain are highly unlikely. both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. 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. about the hospitalization or that she has a psychiatric disorder. 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. ATI - Comprehensive Physical Assessment of an Adult Pretest. D) Chronic pain can cause intense emotional responses. C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. 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. C) Oral analgesia D) Your body absorbs less of the drug due to the cancer. Ans: D Feedback: 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief The nurse who is a member of the palliative care team is assessing a patient. Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back 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. Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . The patient asks the nurse to describe how this pain-relief method works. Which of the following should the nurse expect to be the same for both patients? Pain resulting from cancer is so ubiquitous that when cancer patients are asked about possible outcomes, pain is reported to be the most feared outcome. Low levels of pain are easier to reduce or control than intense levels of pain. Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? QSEN competency of safety, what is the nurse most concerned about with this patient? D) Case manager You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. D) Dependence and health 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. Feedback: Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. used to prevent pain so pain medication is not increased when pain becomes intense. How should you most accurately assess this patients pain? D) Neuropathy, Ans: D Are you currently taking any prescription, herbal, or over-the-counter medications? Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- Transmission, perception, and modulation are subsequent to this process. Which of the following characteristics applies to process costing but not to job order cost accounting? C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. Which of the following statements should the nurse make to the client's family? The In which way should the nurse categorize this client's pain? You are part of the health care team caring for an 87-year-old woman who has been admittedrehabilitation facility after falling and fracturing her left hip. 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. A) Chronic The nurse should document that the client is experiencing which of the following types of pain? A. The client reports taking an opioid prescription for chronic pain. Feedback: 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. 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, Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. The other listed means of pain control would already have been tried in a patient with persistent severe pain that has not responded to previous treatment. Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. Medication should begin at a low dose and slowly increase until the pain is managed. NSAIDs do not act directly on thehery; this 4) helping clients reduce fear and anxiety Feedback: This requires the ability to perform self-care activities in a safe manner. Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. Overdose is not an inevitable risk. Jennifer McNeely D40511762 What elements are included in a pain assessment? guidance would not be a priority at this point and morphine is not the only medication administered byPCA. Have an opioid antagonist available during the administration. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. its three formsweak, semistrong, and strongand briefly discuss the degree to B) Resources that can assist the patient with pain management Which of the following client actions is an indication that cranial nerve I is intact? Frequency of administration will vary widely according to numerous variables. Health promotion is an important global concept for maintaining health, and exercise is an appropriate activity; however, self-care and safety are the priorities. Teaching the family the theory of pain management or the use of alternative therapies and The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. Over time, the patient is likely to become more tolerant of the dosage. Transmission, perception, and modulation aren or burn, 4) clients should let the nurse know if using the pump does not control the pain The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. appropriate. 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 pain. What principle should guide the nurses use of placebusing placebos in theos in "Justice allows the client the opportunity to be treated fairly.". (Select all that apply. The patients comorbid conditions will also affect care, but not a key consideration. 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. 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. Nowhere in the scenario does it indicate the patient is upsetsult in Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen If thesepain-relief goals need to be reassessed in collaboration with the physician. for ati pain management flashcards on Quizlet. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Long-term bonds and common stock are constant at$5 million and $10 million, respectively. Write an expression for the intensity of the observed light as a function of x, letting. Cancer pain is not treated with anti-anxiety medications. a) An employer can never be liable for the actions of its employee outside the scope of employment. A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. Use of a predetermined overhead rate. When addressing the patients pain in her plan of nursing carat has e, the The nurse is caring for a patient with metastatic bone cancer. $$. Osteopenic pain is not a recognized category of pain. "Can you point to where you are having your pain?". D) Provide medication as per patient request and offer relaxation techniques to promote comfort. lable every, B) Do a complete assessment, and give pain medication based on the patients report of pain. A) Patients gender A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . Which of the following categories should the nurse include? My pain feels like I'm being stabbed by a knife. Which of the following factors should the nurse expect to be similar for both clients? Which of the following actions should the nurse take after performing a pain assessment? Radiography reveals an ulnar fracture. Wellness & Self-Care. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? Backache When planning theng from a horse. 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 Pain tolerance is the amount of pain a person is willing to bear. Test with =.05\alpha=.05=.05. Is it constant or intermittent? gabapentin (Neurontin). Feedback: Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. Which of the following is a pain management protocol that should be used by the nurse in this situation? 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.
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