in the B) Misperception Which of the following actions should the nurse take? (pq)(pq). indication that the patients medication will be discontinued. Backache 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. A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. A) Transduction Which of the following statements by the patient refers to pain quality? Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. ", A nurse is discussing the use of heat therapy with a newly licensed nurse. C) Use the Visual Analog Scale (VAS). Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. C) Psychosomatic processes However, further education and assessment are appropriate. Which of the following responses should the nurse take? Which of the following pain assessment tools should the nurse use? Which of the following pain management protocols should the nurse use when caring for this client? A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Nowhere in the scenario does it indicate the patient is upsetsult in (Select all that apply. 3) prevent gastric upset by administering the medication with food or antacids 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. Which of the following statements should the nurse include? 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. 1035 Natoma Street, San Francisco. Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. 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. B. Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. 3) explaining misconceptions about pain Weight Mass Student - Answers for gizmo wieght and mass description. The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. You may be worried that your teacher will know that you took an expert's assistance to . patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. ^ { 152 } _{63} \mathrm { Eu } \quad 151.921742\ \mathrm { u } \quad ^ {1} \mathrm { H } \quad 1.007825\ \mathrm { u }\\ \quad \mathrm { n } \quad 1.008665\ \mathrm { u } Asking the patient to write similarly requires the use of English. B) Provide psychosocial family support during this emotional experience. both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. 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. Ans: B 23. Which of the following methods should the nurse include? ATI has the product solution to help you become a successful nurse. A nurse is assessing a client's cranial nerves. A) Teach the family the theory of pain management and the use of alternative therapies. Which of the following should the nurse include as barriers to end-of life pain management? ATI has the product solution to help you become a successful nurse. Belief that pain is an expected part of their illness Different people feel different degrees of pain from similar stimuli. ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. The nurse serves as the patients advocate in obtaining additional pain relief. ATI has the product solution to help you become a successful nurse. 2) surgery Cancer pain is not treated with anti-anxiety medications. You cannot usually treat pain the patient denies having if the orders are PRN onlyscenario does not indicate the present pain-management orders are not working for this patient. Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. Which of the following questions should the nurse ask to evaluate the letter "R"? Evaluate the client for pain by observing their behavior. A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. 2) The parenteral route is best for immediate, short-term relief of acute pain. (Select all that apply.). What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? pain can be either acute or chronic, and you do not tell a family member that you are going to keepincreasing the dosage of the medication until it doesnt hurt anymore. 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. Feedback: After assessing the client's pain, which of the following actions should the nurse take? A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. 2) Fatigue, which can increase sensitivity to pain Patients requiring opioids for chronic pain, especially cancer patients, need increasing doses to relieve pain. D. Have an opioid antagonist available during the administration. Giving the patient alternative methods to control pain is good, but it will not work if the B) One of the patients is exaggerating his or her sense of pain. Ans: A Feedback: Please ask her about pain again inminutes. EMH. Teaching the family the theory of pain management or the use of alternative therapies and the nurse providing emotional support are important, but the family must be able to operate the pump as well as know the side effects of the medication and strategies to manage them. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . Which of the following actions should the nurse take? guidance would not be a priority at this point and morphine is not the only medication administered byPCA. D. Determining cost of goods manufactured. This scale is useful for adult patients who have cognitive impairments. The. subsequent to this process. ing plan of. . about. ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. Further teaching may need to be done so the patient can correctly rate the pain. Patients do not become imm indicates thatune to the The nurse should monitor the client for which of the following adverse effcets? Which of the following can the nurse be charged with? Ans: B 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. A nurse is caring for a client who has a prescription for heat therapy for knee pain. "What does your pain feel like?" *Assess the quality of the client's pain by asking him to describe how it feels. A. B) Resources that can assist the patient with pain management B) Patients comorbid conditions 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. 3) Consistent timing and dosing of opioid administration provide consistent pain control The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? Feedback: n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. concerned. The wife of a patient you are caring for asks to speak with you. When does the tolerance to pain medication become the most significant problem? Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. ), Fear of addiction How often does it occur? A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. Which of the following questions should the nurse ask the client to assess the quality of the pain? Light of wavelength is used in a Michelson interferometer. 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 Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. Books You don't have any books yet. Social support When asked, the patient rates his pain as a 2 at this time usiomy. A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. C) Type of procedure be performed a) An employer can never be liable for the actions of its employee outside the scope of employment. 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. Feedback: Check the IV site and PCA pump for proper functioning. When planning theng from a horse. Which of the following statements by the client indicates an understanding of the instructions? ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. 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. medication. ATI has the product solution to help you become a successful nurse. 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. Cancer pain can be either acute or chronic, and you do not tell a family member that you are going to keep increasing the dosage of the medication until it doesnt hurt anymore. 1) Anticonvulsants: carbamazepine (Tegretol) Use of a predetermined overhead rate. A nurse provides a client with the opportunity to take an intramuscular injection or oral medication for pain relief. Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. Investigating new alternative pain-management options that are outside the United States is unrealistic and may even be dangerous advice. 4) helping clients reduce fear and anxiety A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. You are the home health nurse caring for a homebound client who is terminally ill. You are delipatient-controlled analgesia (PCA) pump to the patient at your visit today. Long-term bonds and common stock are constant at$5 million and $10 million, respectively. 8. 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. The patient is tearful,ng a 0-to- Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. 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 You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. D) When the family becomes concerned about increasing dosage lable every, B) Do a complete assessment, and give pain medication based on the patients report of pain. What happens to the number of boat makers in the long run? C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. market environment. 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 . Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. : 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). The other answers are incorrect. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. 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. Which of the following statements by the patient refers to pain quality? Fibromyalgia is closelchronic pain. "I will keep the morphine bottle in a locked cabinet in my kitchen. B) You may have become immune to the effects of the drug. If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. Select all that apply. This requires the ability to perform self-care activities in aion, accurate, Your patient is 12-hours post ORIF right ankle. Ati Video Case Study Pain Management Quizlet | Best Writers. onale for. Seventy-two percent of American adults have read a book within the past year. aspects of transmission, perception, or modulation of pain that are listed. Check the IV sit and PCA pump for proper functioning. . A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" What is the nurses most plausible rationale for underspatients different perceptions of pain? 1. Which of the following questions should the nurse ask the client to assess the quality of the pain? RN ATI capstone proctored comprehensive assessment 2019 B . Help students master more than 180 essential nursing skills from the convenience of an online skills lab. D) Chronic pain can cause intense emotional responses. 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. B) We need to provide pain medications because it is the law, and we must always follow the law. The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. Feedback: 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. Which of the following statements should the nurse make? E) The difference between acute and intermittent pain 2) carefully titrate doses while closely monitoring respiratory status Chronic pain is constant or intermittent pain that persistste pain A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. This fact also corresponds to an increased risk of adverse effects. 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) Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. Osteopenic pain is not a recognized category of pain. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. The nurse should not assume thelerance is associated with b. "Can you point to where you are having your pain?". Moving into a nursing homeic when a patient is in intractable a. The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. 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 D) Its not unusual for patients to misreport pain to get our attention when we are busy. 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) Antianxiety agents: diazepam (Valium) In general, adverse effects are minimal. What teaching should the nurse do with this patient? Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. No research indicates that women and/or younger people need higher doses of morphine to be comfortable. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife 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. 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. Wellness & Self-Care. A nurse is evaluating a group of clients who are experiencing pain. The nurse who is a member of the palliative care team is assessing a patient. What are you doing when the symptoms occur? (pq)(pq)(p\rightarrow \neg q)\land(p\land q) ID 4817 Quick Delivery from THREE hours However, they are not what the nurse would be most concerned about in terms of ensuring safety. 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 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 Indications -pts report of pain -nonverbal cues-crying, groaning, restlessness, combativeness, striking out, refusing care, and facial expressions of fear -guarding of painful area -increased HR, BP, respirations Outcomes/Evaluation Pt will have decreased pain or be pain free Potential Complications -allergic reaction to treatment -abuse of pain A) I didnt know that. 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 answers for this patient because of the patients age and disease process. Ans: D before he got cancer because he broke his back about 20 years ago. Mansfield Corporation had 20X1 sales of $100 million. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? When addressing the patients pain in her plan of nursing carat has e, the Chronic pain is treatable. Feedback: Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen Feedback: ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain.
ati pain management quizlet