4) clients should let the nurse know if using the pump does not control the pain The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? Which of the following pain management protocols should the nurse use when caring for this client? B) You may have become immune to the effects of the drug. C) Unless there is strong evidence to the contrary, we should take the patients report at face value. missing part. ATI has the product solution to help you become a successful nurse. Because elderly people have a slower metabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of analgesic agents may be sufficient to relieve pain, and these doses may be effective longer. The client's family asks the nurse about managing the client's pain. Have the client rate their pain using a standard scale. The wife of a patient you are caring for asks to speak with you. Feedback: A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. (ibuprofen) ordered every 6 hours. "My pain feels like I'm being stabbed by a knife.". C) The patients are likely experiencing a variance in vasoconstriction. 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. A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine PCA pump. Which of the following is a pain management protocol that should be used by the nurse in this situation? . A) Transduction What is thee nurse why he has had Radiography reveals an ulnar fracture. Ans: A, B, D 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. . 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. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. 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 . Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. Paradoxical effects are not a common phenomenon. pain management? Click the card to flip Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- 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. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. The nurse may also verify that the same scale is being used by 5) Glucocorticoids: dexamethasone (Decadron) management. answers for this patient because of the patients age and disease process. * 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. Ans: B What teaching should the nurse do with this patient? 18. This requires the ability to perform self-care activities in aion, A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. 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 The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Which of the following clients should the nurse identify as experiencing neuropathic pain? Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? 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. Cross), Give Me Liberty! Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions The client has never taken hydromorphone before. lable every, B) Do a complete assessment, and give pain medication based on the patients report of pain. Ans: B The initial assessment reveals long-term use of opioids for chronic pain. The elderly often require lower doses of medication and are easily confused with new medications. The oral route is better for chronic, nonfluctuating pain A nurse is about to use the Wong-Baker FACES pain level. When planning thcare, what do you know about the negative effects of the stress associated with pain? Which of the following pain assessment tools should the nurse use? However, thnurse would be most concerned about in terms of ensuring safety. Long-term bonds and common stock are constant at$5 million and $10 million, respectively. final exam review pharmacology ati flashcards quizlet. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. Oneg a pain C) The patients allergy status Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. A nurse is reviewing information for several clients on the unit. guidance would not be a priority at this point and morphine is not the only medication administered byPCA. Evaluate the client for pain by observing their behavior. Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. Which of the following methods should the nurse include? A. A transmission 3 Q C. "My pain feels like I'm being stabbed by a knife. $78+$50+$95\$78 + \$50 + \$95 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. What is the primary ratiadministering pain medication in this manner? 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. This patient does not have an adthe familys concerns are secondary to those of the patient. Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. Use this information to find the patient's cardiac output. "Your family member has the right to receive effective pain management. Which of the following characteristics applies to process costing but not to job order cost accounting? A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Decreasing the need to work does not address his pain. Each samples productivity data are required to be normally distributed. This patientght of the 23. If thesepain-relief goals need to be reassessed in collaboration with the physician. A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. 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. Feedback: The nurse who is a member of the palliative care team is assessing a patient. in the 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . temporomandibular disorder. What is the nurses most plausible rationale for underspatients different perceptions of pain? 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. management. C(t)={00.034(t226t+48)for0t2for2t24. Ans: B A) Self-care and safety (Select all that apply. The patient is physically exhibiting signs and symptoms of pain. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. 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. Ans: D The more experience a person has had with pain, the more frightened he or she may be about subsequent painful events. A) Remind the patient that he is indeed experiencing pain. The otherng person Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain A nurse is assessing a clients pain. C) The patient may want to increase his exercise and activities significantly to create distractions. This requires the ability to perform self-care activities in a safe manner. I will speak to the doctor about your husbands pain control. $$ Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. The client's report of pain is the most reliable diagnostic measure of pain. Check the IV sit and PCA pump for proper functioning. trigeminal neuralgia. b. The oral route is better for chronic, nonfluctuating pain ID 4817 Quick Delivery from THREE hours Skin breakdown and hallucinations are much less likely. Offering themedication is more beneficial than letting the patient know ibuprofen is available. An admission essay, for example, from a premium writer will definitely get you into any college despite the toughness of the . When asked, the patient rates his pain as a 2 at this time usiomy. 4) helping clients reduce fear and anxiety [Show more] Preview 3 out of 26 pages For expository writing, our writers investigate a given idea, evaluate its various evidence, set forth interesting arguments by expounding on the idea, and that too concisely and clearly. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. Pain tolerance is the amount of pain a person is willing to bear. Regardless of how patients cope with chronic pain, pain that lasts for an extended period can redepression, anger, or emotional withdrawal. Determining a client's response to a diureticc. In those situations, neurologic and neurosurgical approaches to pain management may be considered. Creating autonomy is important, but need is a poorly defined concept. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1). Patients do not become imm indicates thatune to the What is the nurses best response? patients care, what variables should you consider? The familys insights do not override the patients self-report. 2) lack of knowledge Give more than two choices. The nurse is busy and forgets to assess the client's pain and administer prescribed pain medication. Feedback: ATI - Comprehensive Physical Assessment of an Adult Pretest. Fibromyalgia is closely associated with chronic pain. A) Endorphin levels may vary between patients, affecting the perception of pain. C) Placebos are never recommended in the treatment of pain. A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. 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. Further teaching may need to be done so the patient can correctly rate the pain. Over the years, therdamage, and the patient is in chronic pain. Which of the following findings indicate an increased level of discomfort? Anxiety is also plausible, but depression is a paramount risk. What principle should guide the nurses use of placebusing placebos in theos in ), Transcutaneous electronic stimulating unit (TENS unit). Ans: A Frequency of administration will vary widely according to numerous variables. at aspect of. Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine Older adults are not immune to the negative effects of stress. What type of pain are you addressing when you provider vehicle A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. Determine what type of precaution should be set for the following disease: wound infections. 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. A) I didnt know that. A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. pain that she rates as 8 on a 0-to-10 point scale. Which of the following provider prescriptions for initial pain relief should the nurse question? Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. 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. C) Monitor for a paradoxical increase in pain with opioid administration. Inadequate pain assessment. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. The family member is obviously concerned. 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, 2) eventually, increase in vital signs will stabilize despite the persistence of pain. EMH. B) Long-term intrathecal or epidural catheter The family would alson of the should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? Seventy-two percent of American adults have read a book within the past year. Check the IV site and PCA pump for proper functioning. 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. (Select all that apply.). Little evidence indicates that patients with cancer become addicted to the opioid medications. The nurses assessment of the patients pain is a priority. My pain feels like I'm being stabbed by a knife. The other options are all goodof chronic Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Distorting the action potential that is transmitted along the A-delta (d) and C fibers. 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. Prescriptions containing guidelines for pain medication administration. The nurse is justified in suspecting what phenomenon in the etiology of thepatients pain. Which of the following manifestations is an objective indicator of pain? D) Your body absorbs less of the drug due to the cancer. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? 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 functional ability and may have to be readmitted to an acute-care facility. 6. patientisinsomuchpainthathecannotinstitutereliablealternativemethods. effects of the drug, and the body does not absorb less of the drug because of the cancer. inadequate. 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. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. C) Type of procedure be performed Low levels of pain are easier to reduce or control than intense levels of pain. Which of the following should the nurse include as barriers to end-of life pain management? ent is, A) Pain often comes and goes with postsurgical patients. Feedback: 3) Consistent timing and dosing of opioid administration provide consistent pain control Although all answers are correct, the most accurate conclusion would be to reinforce teaching about the pain scale. ATI has the product solution to help you become a successful nurse. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? Ans: C 2) Fatigue, which can increase sensitivity to pain A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. ^ { 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 } Creating autonomy is important, but need is a poorly defined concept. If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. 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. After assessing the client's pain, which of the following actions should the nurse take? A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. C) You may be developing a mild addiction to the drug. policy as it applies to: i. about. Opioid tochronic pain treatment and would not likely apply to these patients. 12 Test Bank - Gould's Ch. This exquisite Edwardian single-family house has a 1344 Sqft main. Which of the following actions should the nurse take after performing a pain assessment? Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances.
