Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. Feedback: Although tolerance to the drug will increase, addiction is not dose related, D) When the family becomes concerned about increasing dosage C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. Feedback: Broad agreement is that there are no individuals for whom and no condition for which placebos are the recommended treatment. 5) fibromyalgia What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? Determining a client's response to a diureticc. Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. Document associated symptoms (fatigue, depression, nausea, anxiety), ask "What other symptoms do you hae when you are feeling pain?". Which of the following factors should the nurse expect to be similar for both clients? A nurse is reviewing information for several clients on the unit. Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. Which of the following statements by the patient refers to pain quality? neurosurgical approaches to pain management may be considered. D) The patient may want to relocate to long-term care in order to have his ADL needs met. ent is, A) Pain often comes and goes with postsurgical patients. Different people feel different degrees of pain from similar stimuli. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) indication that the patients medication will be discontinued. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. C) The patient may want to increase his exercise and activities significantly to create distractions. which existing empirical evidence supports each of the three forms of the With regard to the actions of employees outside the scope of employment, which of the following statements is true? The patients comorbid conditions will also affect care, but his gender is not a key consideration. Have an opioid antagonist available during the administration. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? C) Type of procedure be performed B) We need to provide pain medications because it is the law, and we must always follow the law. The familys insights do not override the patients self-report. 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. A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Ans: A, B, D If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. What is the binding energy per nucleon of the europium isotope Culture However, further education and assessment are appropriate. My pain feels like I'm being stabbed by a knife Stimulates the skin with a mild electric current when pain occurs Transcutaneous electrical nerve stimulation. Comparing radial . You review her PRN medications and see that she has an NSAID No research indicates that women and/or younger people need higher doses of morphine to be comfortable. C) Oral analgesia B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone The nurse should describe what pathophysiologic process? (Select all that apply. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . eful to prevent, B) Frequently, female patients and younger patients need higher doses of opioids to be comfortable. A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" D) One of the patients may be experiencing opioid tolerance. Level: College, High School, University, Master's, PHD, Undergraduate. Much pain associated with cancer is a direct result of tumor involvement. The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve pain. 1) Anticonvulsants: carbamazepine (Tegretol) before he got cancer because he broke his back about 20 years ago. Which of the following provider prescriptions for initial pain relief should the nurse question? Weight Mass Student - Answers for gizmo wieght and mass description. ), "A client's religious beliefs might affect the way they respond to pain.". The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. Use a pain scale specific to each client's cognitive abilities. 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 Check the IV site and PCA pump for proper functioning. When creating a nursing care plan for this patient,tted for the B) Monitor for an increase in absorption of the drug due to age-related changes. 39. A nurse is caring for two patients of different cultural backgrounds. Which of the following is a pain management protocol that should be used by the nurse in this situation? A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . HOW? Use this information to find the patient's cardiac output. aspects of transmission, perception, or modulation of pain that are listed. Here are some atomic masses and the neutron mass. e the, D) Does the increasing medication dosage concern you? C) Health promotion and exercise 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. 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. View All Products Facebook Question of the Week 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 A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. 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. Which of the following clients should the nurse identify as experiencing neuropathic pain? The otherng person The oral route is better for chronic, nonfluctuating pain 5) creating a treatment plan that includes both nonpharmacological and pharmacological pain-relieving measures. should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. D. Have an opioid antagonist available during the administration. Which of the following questions should the nurse ask the client to assess the quality of the pain? One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. Determine whether the given pairs of triangles are similar or not, and explain how you know. management. Which of the following provider prescriptions for initial pain relief should the nurse question? B. 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. D. Determining cost of goods manufactured. ), Stress Offer to assist the client with nonpharmacological relief strategies. "Biofeedback measures skin tension and uses learned techniques to relieve pain.". 47 Care of the patient with a cardiovascu, Chapter 11 Pain Management Prep U 40 questions. A) Patients gender Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. Acute pain is usually of recent onset and commonly associated with a specific injury. 3. 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. D) Your body absorbs less of the drug due to the cancer. Action should be taken unless there are demonstrable extenuating circumstances. How often does it occur? A. Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards Electrolyte values, blood pressure, and hydration status are not what you need to assess prior to giving a first dose of narcotics. How does the pain affect your ability to work and do your job? C) Reassess the patients pain in 30 minutes. Offering spiritual guidance would not be a priority at this point and morphine is not the only medication administered by PCA. Briefly explain the concept of the efficient market hypothesis (EMH) and each of (pq)(pq). Ans: B Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory 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. The family member is obviously This fact also The A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. The nurse is assessing a patients pain while the patient awaits a cholecystecthesitant to move, and grimacing. A) Chronic ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife Inadequate pain assessment. Last year a new car sold for $24,950. Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. nurses best response? Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. The nurse serves as the patients advocate in obtaining additional pain relief. Notes payable are currently $7 million. The client reports taking an opioid prescription for chronic pain. 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. B. Identifiable units of production. Test with =.05\alpha=.05=.05. D) The advantages and disadvantages of available pain-relief strategies 3) prevent gastric upset by administering the medication with food or antacids Similarly, psychosomatic factors and misperception of pain are highly unlikely. Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. What is thee nurse why he has had Meditation is one of the recognized mind-body methods of nonpharmacological pain control. A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. ATI Skills Module 3.0 - Pain Management Flashcards | Quizlet ATI Skills Module 3.0 - Pain Management 5.0 (5 reviews) Term 1 / 7 A nurse is preparing to assess the pain level of a 4-year-old child. A comparably equipped car sells this year for$22,500. D) Intramuscular analgesia ask the following questions: Where are you when the symptoms occur? Which of the following examples should the nurse include as an example of autonomy? ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following should the nurse include as barriers to end-of life pain management? 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 receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. The patient asks does it still feel like my leg is attached, and why does it still hurt? The nurse suspects: facet syndrome. 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. Nurses should understand the effects of chronic pain on patients and families and should beknowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain B) You may have become immune to the effects of the drug. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. 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. The patient is physically exhibiting signs and symptoms of pain. D) Changes in neurologic function due to the procedure Which of the following actions should the nurse plan to take? 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 Opioids are not absolutely contraindicated and confusion following surgery is never normal. Which of the following methods should the nurse include? Feedback: so others may care for him is an intervention that does not address the issue of pain. In those situations, neurologic ancologic andd a. The nurse who is a member of the palliative care team is assessing a patient. Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. ), "You can be taught how to use TENS therapy at home. B) When dealing with withdrawal symptoms resulting from the tolerance Which of the following should the nurse expect to be the same for both patients? Light of wavelength is used in a Michelson interferometer. C) The patient likely has an underlying psychiatric disorder. Using the nursing process, on which concepts should the nurse focus the patient teaching? This patientght of the A nurse is evaluating a group of clients who are experiencing pain. The patient is physically exhibiting signs and symptoms of pain. Students also viewed Concept Map-AHI Sinus Rhythms - Exam Study Material Older people may respond differently to pain than younger people. The nurse . Which of the following statements by the patient refers to pain quality? (Select all that apply. "You should write down the pain interventions you use and your pain rating before and after. Ans: D ID 4817 Quick Delivery from THREE hours 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. B) Transmission, C) Perception A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. Which of the following questions should the nurse ask to evaluate the letter "R"? What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? Ask the client to point to the location. D) Its not unusual for patients to misreport pain to get our attention when we are busy. Which of the following is a pain management protocol that should be used by the nurse in this situation? A) Teach the family the theory of pain management and the use of alternative therapies. This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. 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. The scenario does not indicate the present pain-management orders are not working for this patient. D) Assessment for paradoxical increase in pain NSAIDs do not act directly on thehery; this Ans: B When does the tolerance to pain medication become the most significant problem? . C) Placebos are never recommended in the treatment of pain. 4) clients who have substance use disorder, Causes of acute and chronic pain include the following, 1) trauma The patients comorbid conditions will also affect care, but not a key consideration. A nurse is preparing to assess the pain level of a 4-year-old child. Low levels of pain are easier to reduce or control than intense levels of pain. Phantom pain occurs when the body experiences a loss, such as an amputation, and still feels pain in the missing part. C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. inadequate. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- EMH. A nurse is assessing a clients pain. Both patients returned from the same type of surgery 2 hr ago. The nurse should document that the client is experiencing which of the following types of pain? Giving the patient alternative methods to control pain is good, but it will not work if the 2) moaning, crying Frequency of administration will vary widely according to numerous variables. Distorting the action potential that is transmitted along the A-delta (d) and C fibers. C) Monitor for a paradoxical increase in pain with opioid administration. View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. Which of the following statements should the nurse include? Chronic pain is constant or intermittent pain that persistste pain Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. What is the nurses most plausible rationale for underspatients different perceptions of pain? 12 Test Bank - Gould's Ch. (PCA) pump. Feedback: Little evidencepatients with cancer become addicted to the opioid medications. ", A nurse is discussing the use of heat therapy with a newly licensed nurse. Which of the following statements should the nurse make? ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. A nurse is assessing a client's cranial nerves. (Select all that apply. Ans: A Ans: B In general, adverse effects are minimal. Which of the following questions should the nurse ask the client to assess the quality of the pain? The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. This principle supersedes the other listed statements. C) Cancer is a chronic kind of pain so the more it hurts the patient, the more medicine we givpatient until it no longer hurts. both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. A) Medication should be taken when pain levels are low so the pain is easier to reduce. is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. The nurse should include that heat therapy is effective for which of the following conditions? $$ 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 . However, thnurse would be most concerned about in terms of ensuring safety. 6) neuropathy A) I didnt know that. Which of the following actions should the nurse take after performing a pain assessment? Offering themedication is more beneficial than letting the patient know ibuprofen is available. A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. It is particularly harmful in the elderly who have been injured or who are ill. Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the peripis a central component of the pathophysiology of transduction. Preview text. 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. What would be the nurses best response? Feedback: Pain associated with cancer may be acute or chronic. 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 . Class of medication used to treat acute postoperative pain. ATI Real Life RN Medical Surgical 3.0 - Kidne, Information Technology Project Management: Providing Measurable Organizational Value, Service Management: Operations, Strategy, and Information Technology, Operations Management: Sustainability and Supply Chain Management. Which of the following pain assessment tools should the nurse use? 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. Is that required condition violated? Ans: C (Select all that apply. guidance would not be a priority at this point and morphine is not the only medication administered byPCA. The dose range is usuallyhigher with cancer patients. . Over the years, therdamage, and the patient is in chronic pain. 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). The client's report of pain is the most reliable diagnostic measure of pain. Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. 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 D) Dependence and health A) Transduction The nurse is justified in suspecting what phenomenon in the etiology of thepatients pain. However, they are not what the nurse would be most concerned about in terms of ensuring safety. (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 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. If PCA is to be used in the patients home, the patient and family are taught about the operation of the pump as well as the side effects of the medication and strategies to manage them. medication. b. Which of the following actions should the nurse plan to take to evaluate the clients' pain control? The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. Marginal utility in the Figure is positive, but declining, when total utility in Figure a is positive and: During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. patients. (Select all that apply. 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 C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. Paradoxical effects are not a common phenomenon. A nurse is caring for a client who has a prescription for hydromorphone 1 to 2 mg IM every 4 hr as needed for a pain rating of 4 to 6 on a 0 to 10 scale. 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. Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. Explain. There is no evidence of cognitive deficits in this patient and the differenceand intermittent pain has no immediate bearing on this patients care. 2) The parenteral route is best for immediate, short-term relief of acute pain. A) Intravenous analgesia You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. 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
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