Shher daughters morphine dose that she needs to control her pain is getting higher and higher. The dose range is usuallyhigher with cancer patients. Which of the following statements by the patient refers to pain quality? 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. $$ Chronic pain istreatable. final exam review pharmacology ati flashcards quizlet. Feedback: l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. patient is in so much pain that he cannot institute reliable alternative methods. b) An employer might be liable for the actions of its employee outside the scope of employment if the employer was negligent or reckless in allowing it to occur, or for other reasons. 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. Osteopenic pain is not a recognized category of pain. How should you most accurately assess this patients pain? Many small boats are made of fiberglass, which is derived from crude oil. Feedback: View All Products Page Link Facebook Question of the Week. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. Feedback: After assessing the client's pain, which of the following actions should the nurse take? The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. A) Remind the patient that he is indeed experiencing pain. ATI Testing | Nursing Education | NCLEX Exam Review | TEAS Testing Ans: A, B, D subsequent to this process. Ans: A A) I didnt know that. 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 This method also reduces, but does not eliminate, adverse effects of the opioid. Books You don't have any books yet. 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. If thesepain-relief goals need to be reassessed in collaboration with the physician. D) Osteopenic This principle supersedes the other listed statements. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. Which of the following statements by the patient refers to pain quality? Determining a client's response to a diureticc. In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes? A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. Notes payable are currently $7 million. 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. 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. 7) Support systems that are present and can decrease sensitivity to pain No research indicates cancer patients misreport pain because of confusion related to their disease process. D) Chronic pain can cause intense emotional responses. about. ent is, A) Pain often comes and goes with postsurgical patients. The nurse is justified in suspecting what phenomenon in the etiology of thepatients pain. Wellness & Self-Care. Fibromyalgia is closely associated with chronic pain. E) The difference between acute and intermittent pain B) When dealing with withdrawal symptoms resulting from the tolerance pain that she rates as 8 on a 0-to-10 point scale. B) Resources that can assist the patient with pain management Further teaching may need to be doneso the patient can correctly rate the pain. with the preventive pain method when PRN medications are given around the clock. However, further education and assessment are patients, A transmission 3 Q Suppose that the price of oil rises. It is ongoing or recurs frequently, lasting longer than 6 months and persisting beyond tissue healing, 1) nociceptive pain arises from damage to or inflammation of tissue other than that of the peripheral and central nervous systems, 1) neuropathic pain arises from abnormal or damaged pain nerves B) Acute The nurse should apply heat therapy to the client's knee for how long? What type of pain are you addressing when you provider vehicle She states, He was in pain longned A nurse is about to use the Wong-Baker FACES pain level. 12 Test Bank - Gould's Ch. Which of the following should the nurse include as barriers to end-of life pain management? Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. b. 4) It is essential to monitor and intervene for adverse effects of opioid use: constipation, orthostatic hypotension, urinary retention, nausea/vomiting, sedation, respiratory depression, Pharmacological Interventions: Adjuvant analgesics enhance the effects of nonopioids, help alleviate other symptoms that aggravate pain (depression, seizures, inflammation), and are useful for treating neuropathic pain, Adjuvant medications include: Feedback: D) One of the patients may be experiencing opioid tolerance. Test with =.05\alpha=.05=.05. Chapter 41: Fluid, Electrolyte, and Acid-Base Balance - Brainscape C) Intermittent Pain Management Case Study Ati Quizlet 1647 Orders prepared Download Once the deadline is over, we will upload your order into you personal profile and send you a copy to the email address you used while placing order. : 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). A nurse is assessing a clients pain. Feedback: D) Provide medication as per patient request and offer relaxation techniques to promote comfort. Conveying patienconcerns to the physician is something a nurse does, but is not the best response by the nurse. Are you currently taking any prescription, herbal, or over-the-counter medications? Which of the following statements should the nurse make? RN ATI Capstone Proctored Comprehensive Assessment 2019 B 1 review $ 15 pain that she rates as 8 on a 0-to-10 point scale. 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. D) Administer an analgesic and then reassess. What would your priority nursing interventions be for this visit? ), Fear of addiction The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. effects of the drug, and the body does not absorb less of the drug because of the cancer. How does the pain affect your sleep? and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. 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. Which of the following manifestations is an objective indicator of pain? A) How the presence of pain affects patients and families Belief that pain is an expected part of their illness 3) Tricyclic antidepressants: amitriptyline (Elavil) What would be the nurses best response? Ati Testing Pain Management Answers Slibforyou C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. 4) Antihistamine: hydroxyzine (Visaril) A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN. but is a separate psychological dependency issue. 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. 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 View All Products Facebook Question of the Week ATI pain management post test During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. The other options are all good answers for this patient because of the patients age and disease process. (Select all that apply. ati skills 3.0 : Surgical Asepsis Posttest, PTH 105 Ch 14 Challenges of ambulating GAIT, ATI: Comprehensive physical assessment of an, Fundamentals ATI proctored study material, Service Management: Operations, Strategy, and Information Technology, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Operations Management: Sustainability and Supply Chain Management, STAT 1100: Chapter 20: Inference About a Popu. Nonpharmacological interventions indeed reduce pain and their use is not limited to practitioners outside the healthcare team. the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceptors), occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it, the amount of pain a person is willing to bear, Substances that increase pain transmission and cause an inflammatory response, Substances that decrease pain transmission and produce analgesia, the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli, 1) acute pain is protective, temporary, usually self-limiting, and resolves with tissue healing, 1) chronic pain is not protective. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. 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. B) Patients comorbid conditions 3) neuropathic pain is usually intense, shooting, burning, or described as "pins and needles" Which of the following questions should the nurse ask the client to assess the quality of the pain? the mother is afraid that her daughter will overdose. Moving into a nursing homeic when a patient is in intractable Changing the dressing for a client who has a stage 3 pressure injuryb. Feedback: The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. Feedback: Ans: B, C, D, E B) The patients blood pressure answers for this patient because of the patients age and disease process. D) Administer analgesics every 4 to 6 hours as ordered to control pain. The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. B) Placebos are an acceptable, but unconventional, form of nonpharmacological pain management. Ch 12 - Test bank - Chapter 12: Pain Management The nurse who - StuDocu A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. aspects of transmission, perception, or modulation of pain that are listed. Which of the following statements by the client refers to pain quality? Little evidencepatients with cancer become addicted to the opioid medications. (ibuprofen) ordered every 6 hours. Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. Broad agreement is that there are no individuals for whom and no condition for which placebos are the recommended treatment. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, Flashcards in ATI - Pain Management - 41Deck (112) Loading flashcards. Cancert/family Ans: C Acute pain indicates that damage or injury has occurred. Acute pain is usually of recent onset and commonly associated with a specific injury. Ans: A True or false? Help students master more than 180 essential nursing skills from the convenience of an online skills lab. Ans: D C. This scale is useful for adult patients who have cognitive impairments. Much pain associated with cancer is a direct result of tumor involvement. 6) neuropathy A) Placebos require a higher level of informed consent than conventional care. 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? Check the IV sit and PCA pump for proper functioning. However, thnurse would be most concerned about in terms of ensuring safety. 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. 61 Comments Please sign inor registerto post comments. Increasing his exercise and activities to create distractions is unrealistic when a patient is in intractable pain and this recommendation conveys the attitude that the pain is not real. Cross), Give Me Liberty! It takes less medication to prevent pain than to treat pain. 23. Which of the following can the nurse be charged with? The initial assessment reveals long-term use of opioids for chronic pain. D) Dependence and health answers are incorrect. The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. Further teaching may need to be done so the patient can correctly rate the pain. at aspect of. Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy A. "You should write down the pain interventions you use and your pain rating before and after. Fifteen minutes after receiving the dose, the client reports to the nurse their pain is still a 7 and has not changed. ing plan of. The otherng person 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants ey are not what the, You are caring for a patient with sickle cell disease in her home. Order Now Quantity: Call For Pricing!RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019FORM B.180 Q&A. 2) carefully titrate doses while closely monitoring respiratory status 3) heat to increase blood flow and to reduce stiffness, Nonpharmacological Pain Management: Distraction, includes ambulation, deep breathing, visitors, television, and music, Nonpharmacological Pain Management: Relaxation, includes meditation, yoga, and progressive muscle relaxation, Nonpharmacological Pain Management: Imagery, 1) focusing on a pleasant thought to divert focus C. Equivalent units of production. D) Provide family teaching regarding use of morphine, recognizing morphine overdose, and offeringspiritual guidance. eful to prevent, B) Frequently, female patients and younger patients need higher doses of opioids to be comfortable. This requires the ability to perform self-care activities in aion, You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. ID 4817 Quick Delivery from THREE hours Chronic pain is treatable. Ans: C a. It is particularly harmful in the elderly who have been injured or who are ill. The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. market environment. 18. inadequate.Whatteachingshouldthenursedowiththispatient? This scale is useful for adult patients who have cognitive impairments. The patients comorbid conditions will also affect care, but not a key consideration. "Can you point to where you are having your pain?". Low levels of pain are easier to reduce or control than intense levels of pain. This method also reduces, but does not eliminate, adverse effects of the opioid. D) The patient will likely benefit more from distraction than pharmacologic interventions. Similarly, psychosomatic factors and misperception of pain are highly unlikely. Ans: D Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. When planning thcare, what do you know about the negative effects of the stress associated with pain?
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