5) Prior experiences, which can increase or decrease sensitivity depending on whether clients obtained adequate relief D) Provide family teaching regarding use of morphine, recognizing morphine overdose, and offeringspiritual guidance. 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 Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. What type of pain are you addressing when you provider vehicle C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. You may be worried that your teacher will know that you took an expert's assistance to . 3) Consistent timing and dosing of opioid administration provide consistent pain control Determine what type of precaution should be set for the following disease: wound infections. 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute 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. 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 However, further education and assessment are appropriate. ", A nurse is discussing the FLACC scale with a newly licensed nurse. Which of the following actions should the nurse take? What will happen to external fund requirements if Mansfield Corporation reduces the payout ratio, grows at a slower rate, or suffers a decline in its profit margin? This method also reduces, but does not eliminate, adverse effects of the opioid. Because elderly people have a slowermetabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. Little evidence indicates that patients with cancer become addicted to the opioid medications. A) Transduction D) Dependence and health My pain feels like I'm being stabbed by a knife. A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse. However, thnurse would be most concerned about in terms of ensuring safety. Is it constant or intermittent? The nurse should describe what pathophysiologic process? What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? Transmission, perception, and modulation aren or burn, Pain associated with cancer may be acute or chronic. This scale is useful for adult patients who have cognitive impairments. 7) Support systems that are present and can decrease sensitivity to pain EMH. c. Briefly explain the roles or responsibilities of portfolio managers in an efficient A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. Ati Testing Pain Management Answers Slibforyou As recognized, adventure as skillfully as experience just about lesson, amusement, as competently as understanding can be gotten by just checking out a books Ati Testing Pain . Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. trigeminal neuralgia. This requires the ability to perform self-care activities in a safe manner. about the hospitalization or that she has a psychiatric disorder. 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, Discuss each of these separately. Menstrual discomfort. A) Intravenous analgesia If the intervention was ineffective, the nurse should consider other measures. Older people may respond differently to pain than younger people. 3) older adults The initial assessment reveals long-term use of opioids for chronic pain. ID 4817 Quick Delivery from THREE hours You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. 32. The patient is asking for a breakthrough dose ofanalgesia. The nursing care of patients who undergo procedures for the relief of chronic pain depends on the typeof procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function 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. B) We need to provide pain medications because it is the law, and we must always follow the law. about. 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) ", A nurse is assisting with a staff in-service regarding pain control. Action should be taken unless there are demonstrable extenuating circumstances. Prior debilitation does not have to be present in order for stress to cause potential harm. Which of the following statements by the patient refers to pain quality? 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. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. A) When it results in inadequate relief from pain 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 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. b. 4.9/5. tanding the Skills Modules 3.0. l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. D) Neuropathy, Ans: D 2) administering analgesics around the clock rather than PRN, Undertreatment of pain is a serious complication and may lead to, increased anxiety with acute pain and depression with chronic pain. ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. gabapentin (Neurontin). When planning theng from a horse. Ans: A ATI has the product solution to help you become a successful nurse. A nurse is caring for a group of clients on the pediatric unit. A What is the nurses best response? Ans: D 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. 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. Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. 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 C) Use the Visual Analog Scale (VAS). If thesepain-relief goals need to be reassessed in collaboration with the physician. Neuroplasticity is the ability of the peripheral and central nervous systems to change both structure and function as a result of noxious stimuli; this does not likely contribute to the patients pain. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. A) To prevent respiratory depression from the opioid Frequency of administration will vary widely according to numerous variables. 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. Level: College, High School, University, Master's, PHD, Undergraduate. Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. Disease severity. Pain tolerance is the amount of pain a person is willing to bear. C) You may be developing a mild addiction to the drug. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy Use a pain scale specific to each client's cognitive abilities. Ans: C View All Products Page Link Facebook Question of the Week. 3) fear of addiction The other options are all good answers for this patient because of the patients age and disease process. A nurse is caring for a client who has kidney stones. Cancert/family "My pain feels like I'm being stabbed by a knife.". The nurse should not assume the patient is exaggerating the pain because the patient is the best authority of his or her existence of pain, and definitions for pain state that pain is whatever the person says it is, existing whenever the experiencing person says it does. Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. D) When the family becomes concerned about increasing dosage ATI-FUNDAMENTALS-2019-PROCTORED-EXAM-FUNDAMENTALS-PROCTORED-EXAMATI Fundamentals 2019 Proctored Exam |Fundamentals Proctored ExamA nurse is planning care for a group of clients. Which of the following should the charge nurse include? his gender is. The oral route is better for chronic, nonfluctuating pain You are part of the health care team caring for an 87-year-old woman who has been admittedrehabilitation facility after falling and fracturing her left hip. ), "You can be taught how to use TENS therapy at home. Which of the following provider prescriptions for initial pain relief should the nurse question? A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. Offering spiritual guidance would not be a priority at this point and morphine is not the only medication administered by PCA. . The nurse suspects: facet syndrome. Patients do not become imm indicates thatune to the 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. policy as it applies to: i. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) Which of the following statements by the patient refers to pain quality? Have an opioid antagonist available during the administration. A nurse is caring for two client who are 2 hr postoperative following the same procedure. Opioid tochronic pain treatment and would not likely apply to these patients. ), Muscular pain [Show more] Preview 3 out of 26 pages 4. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. The elderly often require lower doses of medication and are easily confused with new medications. There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. Which of the following examples should the nurse include as an example of autonomy? The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife Further teaching may need to be doneso the patient can correctly rate the pain. 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 Feedback: E) The difference between acute and intermittent pain A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. C) Oral analgesia Ans: B This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. The dose range is usuallyhigher with cancer patients. This method also reduces, but does not eliminate, adverse effects of the opioid. 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). ), Fear of addiction patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. patients care, what variables should you consider? Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. Find the net cost (invoice amount) for the following. Which of the following statements should the nurse include? Feedback: Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. final exam review pharmacology ati flashcards quizlet. A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" 4) clients should let the nurse know if using the pump does not control the pain A) Self-care and safety e the, D) Does the increasing medication dosage concern you? epidural catheter may be effective. Ans: B Low levels of pain are easier to reduce or control than intense levels of pain. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. ATI Leadership Management Proctored Exam (CHECK THE LAST PAGE FOR DETAIL SOLUTION) 5. negative airflow pressure (6-12 exchanges/hr) surgical mask when transporting. However, further education and assessment are patients, A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. Mansfield Corporation had 20X1 sales of $100 million. Nowhere in the scenario does it indicate the patient is upsetsult in 2) surgery Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. patients advocate in obtaining additional pain relief. safe manner. Ans: C 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. Seventy-two percent of American adults have read a book within the past year. Feedback: B) Assessment for respiratory depression Ans: D The patients comorbid conditions will also affect care, but his gender is not a key consideration. It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. 3) Genetic sensitivity, which can increase or decrease pain tolorance The nurse educates the mother about whher pain management? Creating autonomy is important, but need is a poorly defined concept. (a) What can be said about the inflation rate when the current price is less than the original price? Feedback: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Which of the following actions should the nurse take? concerned. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. What teaching should the nurse do with this patient? A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. Giving the patient alternative methods to control pain is good, but it will not work if the patient is in so much pain that he cannot institute reliable alternative methods. 1035 Natoma Street, San Francisco. A) Patients gender 39. Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. 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. This is particularly harmful in patients whose health is already compromised by age, illness, or injury. This exquisite Edwardian single-family house has a 1344 Sqft main. Ans: B Feedback: A) How the presence of pain affects patients and families A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. Books You don't have any books yet. Ch 12 - Test bank - Chapter 12: Pain Management The nurse who is a member of the palliative care - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. 4) arthritis No research indicates cancer patients misreport pain because of confusion related to their disease process. Similarly, psychosomatic factors and misperception of pain are highly unlikely. definitive guide to defining psychological disorders. A) Endorphin levels may vary between patients, affecting the perception of pain. This patientght of the B) Chronic illness ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain. (b) What is the deflation rate? It is tempting to expect that people who have had multiple or prolonged experiences with pain will be less anxious and more tolerant of pain than those who have had little experience with pain. 47 Care of the patient with a cardiovascu, Chapter 11 Pain Management Prep U 40 questions. A) Chronic Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain 1. This principle supersedes the other listed statements. Long-term bonds and common stock are constant at$5 million and $10 million, respectively. (PCA) pump. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. What happens to the profits of boat makers in the short run? For that problem, though, his painmedicine wasnt just raised and raised. D) Placebos require the active participation of the patients family. 2) Antianxiety agents: diazepam (Valium) A nurse is caring for a client who has a prescription for heat therapy for knee pain. self-care and safety are the priorities. D) Changes in neurologic function due to the procedure Ice helps decrease swelling and pain. A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. 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. 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. 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. Osteopenic pain is not a recognized category of pain. Light of wavelength is used in a Michelson interferometer. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. (Select all that apply. 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. D) The patient may want to relocate to long-term care in order to have his ADL needs met. Compare and contrast India's oil 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. What is the nurses best response? Explain. The nurse should monitor the client for which of the following adverse effcets? Skin breakdown and hallucinations are much less likely. Database Systems Design Implementation and Management 9th Edition Coronel Solution Manual, Lesson 17 Types of Lava and the Features They Form, Logica proposicional ejercicios resueltos, 1-2 Module One Activity Project topic exploration, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about?
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