The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. Which of the following questions should the nurse ask the client to assess the quality of the pain? Determine what type of precaution should be set for the following disease: wound infections. B) Autonomy and need Dependence is not a concept used to develop a nursing plan of care, and health is too broad a concept to use as a basis for a nursing plan of care. B) Chronic illness 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants C) Team leader myofascial pain syndrome. 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. Explain. patients advocate in obtaining additional pain relief. Feedback: A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. The nurse may also verify that the same scale is being used by How does the pain affect your ability to work and do your job? It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. Give more than two choices. Offering spiritual as No research indicates that women and/or people need higher doses of morphine to be comfortable. 4) Cognitive function: clients who are cognitively impaired may not be able to report pain or report it accurately Although all answers are correct, the mostconclusion would be to reinforce teaching about the pain scale. Order Now Quantity: Call For Pricing!RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019FORM B.180 Q&A. guidance would not be a priority at this point and morphine is not the only medication administered byPCA. Over the years, therdamage, and the patient is in chronic pain. Similarly, psychosomatic factors and misperception of pain are highly unlikely. D. Determining cost of goods manufactured. A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. 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. $78+$50+$95\$78 + \$50 + \$95 ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. ", A nurse is discussing the FLACC scale with a newly licensed nurse. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" B. Identifiable units of production. 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 both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. Feedback: The main reason is that the writing quality premium writers produce is figuratively out of this world. 1. c. Briefly explain the roles or responsibilities of portfolio managers in an efficient Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. 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) Assessment for paradoxical increase in pain Smaller drug doses of medication are neededgular List price: $1308\$ 1308$1308 less 20/2520 / 2520/25. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? D) Provide medication as per patient request and offer relaxation techniques to promote comfort. Which of the following actions should the nurse take after performing a pain assessment? 23. the, A) Neuroplasticity b. Which of the following statements by the patient refers to pain quality? A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hr as needed for pain rating 7 to 10 on a 0 to 10 scale. A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. production and consumption in 2000and in 2010. 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. 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) A broad definition of pain is whatever the person says it is, existing whenever the experiencing person says it does. beyond the expected healing time and that can seldom be attributed to a specific cause or injuPhantom pain occurs when the body experiences a loss, such as an amputation, and still feels painry. The patient is asking for a breakthrough dose ofanalgesia. The client's report of pain is the most reliable diagnostic measure of pain. The nurse is justified in suspecting what phenomenon in the etiology of thepatients pain. What happens to the profits of boat makers in the short run? 2) eventually, increase in vital signs will stabilize despite the persistence of pain. Ans: A C) The influence of the patients cognition on her pain C. This scale is useful for adult patients who have cognitive impairments. In general, adverse effects are minimal. However, this is not true for many people. Which of the following findings indicate an increased level of discomfort? A nurse is caring for two client who are 2 hr postoperative following the same procedure. Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. However, further education and assessment are patients, D. Have an opioid antagonist available during the administration. 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. 7) Support systems that are present and can decrease sensitivity to pain This scale is useful for adult patients who have cognitive impairments. 2) carefully titrate doses while closely monitoring respiratory status lable every, B) Do a complete assessment, and give pain medication based on the patients report of pain. This patient does not have an adthe familys concerns are secondary to those of the patient. 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. Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen The Feedback: Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is but is a separate psychological dependency issue. A) Placebos require a higher level of informed consent than conventional care. In those situations, neurologic ancologic andd 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. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. in the Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. Changing the dressing for a client who has a stage 3 pressure injuryb. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? ATI has the product solution to help you become a successful nurse. The client reports taking an opioid prescription for chronic pain. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. This regimemotivated by the need to prevent respiratory depression or to eliminate nighttime dosing. "You should write down the pain interventions you use and your pain rating before and after. C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. The VAS requires English language skills, even though it is visual. . Prescriptions containing guidelines for pain medication administration. Test. Ans: B The initial assessment reveals long-term use of opioids for chronic pain. Seventy-two percent of American adults have read a book within the past year. 4) identify the cause of sedation aspects of transmission, perception, or modulation of pain that are listed. A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. D) Dependence and health Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. Each samples productivity data are required to be normally distributed. ), "A client's religious beliefs might affect the way they respond to pain.". Use of a predetermined overhead rate. the nurse should teach the patient which of the following? Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. The wife of a patient you are caring for asks to speak with you. Mansfield Corporation had 20X1 sales of $100 million. The dose range is usuallyhigher with cancer patients. inadequate.Whatteachingshouldthenursedowiththispatient? The scenario does not indicate the present pain-management orders are not working for this patient. Can the read and write methods in the Buffer class be executed concurrently? A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. $$. ), Fear of addiction level of 3 to 4 on the same pain scale. The nurse should apply heat therapy to the client's knee for how long? Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. D) Changes in neurologic function due to the procedure Use a pain scale specific to each client's cognitive abilities. 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. ? Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. 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 18. Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. Is it constant or intermittent? 12 Test Bank, Marketing Reading-Framework for Marketing Strategy Formation, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory. Feedback: The unit cost of normal spoilage is the same as the unit cost of abnormal spoilage. Do you agree? 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery 5) Prior experiences, which can increase or decrease sensitivity depending on whether clients obtained adequate relief The patient asks does it still feel like my leg is attached, and why does it still hurt? Is that required condition violated? Ans: C C. Equivalent units of production. Feedback: She states, He was in pain longned A multimodal regimen combines drugs with different underlying mechanisms, which allows of each of the drugs in the treatment plan, reducing the potential for each to produce adverse efflower dosesects. 3) explaining misconceptions about pain with the preventive pain method when PRN medications are given around the clock. ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain. 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. 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. Little evidencepatients with cancer become addicted to the opioid medications. Ans: B final exam review pharmacology ati flashcards quizlet. Which of the following clients should the nurse identify as experiencing neuropathic pain? 3) prevent gastric upset by administering the medication with food or antacids Feedback: The client has never taken hydromorphone before. 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. Offer to assist the client with nonpharmacological relief strategies. Shher daughters morphine dose that she needs to control her pain is getting higher and higher. A nurse is preparing to assess the pain level of a 4-year-old child. Which of the following statements should the nurse include? What is the nurses best response? The nursing care of patients who undergo procedures for the relief of chronic pain depends on the type of procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function that accompany the procedure. Which of the following actions should the nurse plan to take to evaluate the clients' pain control? 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. Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. 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 E. Use of a single Work in Process Inventory account. Suppose that the price of oil rises. indication that the patients medication will be discontinued. Pain associated with cancer may be acute or chronic. A) How the presence of pain affects patients and families Discuss each of these separately. hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. 8. Further teaching may need to be done so the patient can correctly rate the pain. The nurse who is a member of the palliative care team is assessing a patient. Light of wavelength is used in a Michelson interferometer. The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . b. Ans: D Have the client rate their pain using a standard scale. Ice helps decrease swelling and pain. 20. Belief that pain is an expected part of their illness Teaching the family the theory of pain management or the use of alternative therapies and before he got cancer because he broke his back about 20 years ago. Opioids are not absolutely contraindicated and confusion following surgery is never normal. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) Disease severity. (Select all that apply. Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). As a result,e states that ", John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Information Technology Project Management: Providing Measurable Organizational Value, Ch. Which of the following methods should the nurse include? ", A nurse is discussing cutaneous stimulation with a client who has back pain. Feedback: D) Modulation Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. How does the pain affect your sleep? The nurse is caring for a male patient whose diagnosis of bone cancer is causing severe pain. Here are some atomic masses and the neutron mass. Ans: A Radiography reveals an ulnar fracture. If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? View All Products Facebook Question of the Week Little evidence indicates that patients with cancer become addicted to the opioid medications. Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Skin breakdown and hallucinations are much less likely. 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. Pain tolerance is the amount of pain a person is willing to bear. The nurse is accepting care of an adult patient who has been experiencing severe and intracWhen reviewing the patients medication administration record, the nurse notes the presence oftable pain. 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 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. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife Health promotion is an important global concept for maintaining health, and exercise is an appropriate activity; however, self-care and safety are the priorities. $78+$50+$95. Ans: B The family members will bevering a Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. ing plan of. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, Find the net cost (invoice amount) for the following. ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. 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. Patients who have been taking analgesic agents may mistakenly assume that clinicians suggest a nonpharmacolgical method to reduce the use or dose of analgesic agents. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. ), Stress ask the following questions: What makes the pain better? Feedback: 4) Antihistamine: hydroxyzine (Visaril) (Select all that apply.). (pq)(pq)(p\rightarrow \neg q)\land(p\land q) A nurse is reviewing information for several clients on the unit. 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
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