Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? Both patients returned from the same type of surgery 2 hours ago. . A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. level of 3 to 4 on the same pain scale. Ans: B C) Placebos are never recommended in the treatment of pain. View All Products Facebook Question of the Week Regardless of how patients cope with chronic pain, pain that lasts for an extended period can redepression, anger, or emotional withdrawal. the mother is afraid that her daughter will overdose. A nurse is caring for two patients of different cultural backgrounds. (Select all that apply. Which of the following clients should the nurse identify as experiencing neuropathic pain? What is your priority assessment? What principle should guide the nurses use of placebusing placebos in theos in B) Acute tanding the Feedback: The main reason is that the writing quality premium writers produce is figuratively out of this world. 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. The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. 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. B) Autonomy and need List price: $1308\$ 1308$1308 less 20/2520 / 2520/25. Which of the following should the nurse expect to be the same for both patients? C) Reassess the patients pain in 30 minutes. What is the primary ratiadministering pain medication in this manner? The initial assessment reveals long-term use of opioids for chronic pain. 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. The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . A) Placebos require a higher level of informed consent than conventional care. patients care, what variables should you consider? 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. subsequent to this process. 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. Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain 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 . Which of the following statements by the client refers to pain quality? but is a separate psychological dependency issue. The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. The nurse knows that the child is at greatest risk for which acid- a. acidosis b. Can the read and write methods in the Buffer class be executed concurrently? A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. Evaluate the client for pain by observing their behavior. 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. (Select all that apply. 23. ask the following questions: Where are you when the symptoms occur? The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. The nurse se are ineffective,rves as the market environment. The nurse should include that heat therapy is effective for which of the following conditions? (Select all that apply. B) Provide psychosocial family support during this emotional experience. Decreasing the need to work does not address his pain. C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. In those situations, neurologic and neurosurgical approaches to pain management may be considered. : 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). 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 Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. The patient asks does it still feel like my leg is attached, and why does it still hurt? Paradoxical effects are not a common phenomenon. ", A nurse is discussing cutaneous stimulation with a client who has back pain. Much pain associated with cancer is a direct result of tumor involvement. Offer to assist the client with nonpharmacological relief strategies. Use a pain scale specific to each client's cognitive abilities. Acute pain is usually of recent onset and commonly associated with a specific injury. ), Stress A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. How should the nurse best respond to this assessment finding? A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. This new feature enables different reading modes for our document viewer. The client reports taking an opioid prescription for chronic pain. What would be the nurses best response? "Biofeedback measures skin tension and uses learned techniques to relieve pain.". 3) explaining misconceptions about pain ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. 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 ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. As a result,e states that C) When having to report the patients addiction to her physician indication that the patients medication will be discontinued. D) Administer an analgesic and then reassess. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. ID 4817 Quick Delivery from THREE hours Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. Little evidence indicates that patients with cancer become addicted to the opioid medications. The patient asks the nurse to describe how this pain-relief method works. This method also reduces, but does not eliminate, adverse effects of the opioid. Long-term bonds and common stock are constant at$5 million and $10 million, respectively. 7) Support systems that are present and can decrease sensitivity to pain nonsteroidal anti-inflammatory drug (NSAID) given together. This fact also 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 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. Acute pain chronic pain Nociceptive pain: somatic, visceral, and cutaneous Neuropathic pain Risk factors: undertreatment of pain, populations at risk, causes of pain, factors that affect pain experience Pain threshold Pain tolerance Focused pain assessment: OLDCARTS to determine location, quality, intensity, timing, setting, associated In lints chart. Which of the following is a pain management protocol that should be used by the nurse in this situation? Light of wavelength is used in a Michelson interferometer. A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. When creating a nursing care plan for this patient,tted for the Is it constant or intermittent? Class of medication used to treat acute postoperative pain. Which of the following statements by the patient refers to pain quality? 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery D) The patients hydration status Explain. For that problem, though, his painmedicine wasnt just raised and raised. Belief that pain is an expected part of their illness D) Changes in neurologic function due to the procedure Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. 12 Test Bank, Marketing Reading-Framework for Marketing Strategy Formation, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory. ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. 5) creating a treatment plan that includes both nonpharmacological and pharmacological pain-relieving measures. (ibuprofen) ordered every 6 hours. Which of the following actions should the nurse take after performing a pain assessment? what variables should the nurse consider? 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 Two patients on your unit have recently returned to the postsurgical unit after knee arthroplapatient is reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the other patient is reportinsty. A) Intravenous analgesia Is that required condition violated? A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. D) Modulation Ati Video Case Study Pain Management Quizlet | Best Writers. The nurse explains neuropathic pain inwhy. A. The family member is obviously A nurse is reviewing information for several clients on the unit. 5) fibromyalgia Social support With regard to the actions of employees outside the scope of employment, which of the following statements is true? This method also reduces, but does not eliminate, adverse effects of the opioid. Ask the following questions: How much pain do you have now? Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife ^{152}_{63}Eu (Select all that apply. ^ { 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 } Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . There is no evidence of cognitive deficits in this patient and the differenceand intermittent pain has no immediate bearing on this patients care. medication. 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 The pain-medication orders are written as a combination of an opioid analgesic and a Culture The scenario does not indicate the present pain-management orders are not working for this patient. Self-report using standardized pain scales is useful for clients over the age of 7 years. A transmission 3 Q Ans: A 2) Elevation of edematous extremities to promote venous return and decrease swelling, Pharmacological Interventions: Analgesics, are the mainstay for relieving pain. Which of the following questions should the nurse ask the client to assess the quality of the pain? The nurse is justified in suspecting what phenomenon in the etiology of thepatients pain. 2) carefully titrate doses while closely monitoring respiratory status Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. HOW? 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. Feedback: Different people feel different degrees of pain from similar stimuli. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. The nurse should not assume thelerance is associated with This principle supersedes the other listed statements. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. You may be worried that your teacher will know that you took an expert's assistance to . Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. Each samples productivity data are required to be normally distributed. 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. the nurse should teach the patient which of the following? . $$ Ans: D 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? Feedback: B) Ask the patient to write down a number according to the 0-to-10 point pain scale. Nurses should understand the effects of chronic pain on patients and families and should be knowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain management. Seventy-two percent of American adults have read a book within the past year. C) The patients allergy status Use this information to find the patient's cardiac output. Preview text. Use of a predetermined overhead rate. ATI Leadership Management Proctored Exam (CHECK THE LAST PAGE FOR DETAIL SOLUTION) 5. negative airflow pressure (6-12 exchanges/hr) surgical mask when transporting. between acute, A patient is experiencing severe pain after suffering an electrical burn in a workplanurse is applying knowledge of the pathophysiology of pain when planning this patients nursing care accident. A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. D) Drug interactions D) Administer analgesics every 4 to 6 hours as ordered to control pain. "Your family member has the right to receive effective pain management. Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes? 22. The patient is tearful,ng a 0-to- The patient is physically exhibiting signs and symptoms of pain. (Select all that apply.). self-care and safety are the priorities. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. D) Osteopenic Which of the following findings indicate an increased level of discomfort? C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine This patientght of the Feedback: This requires the ability to perform self-care activities in aion, ", John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Information Technology Project Management: Providing Measurable Organizational Value, Ch. Click the card to flip Definition 1 / 7 The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. (Select all that apply. 2) lack of knowledge The other answers are incorrect. 3) older adults A. Please ask her about pain again inminutes. 2) The parenteral route is best for immediate, short-term relief of acute pain. Which of the following tasks should the nursedelegate to an assistive personnel?a. At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. safe manner. 2) Fatigue, which can increase sensitivity to pain "What does your pain feel like?" *Assess the quality of the client's pain by asking him to describe how it feels. 47 Care of the patient with a cardiovascu, Chapter 11 Pain Management Prep U 40 questions. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain. 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. 29. 4) Cognitive function: clients who are cognitively impaired may not be able to report pain or report it accurately A) Self-care and safety The patients comorbid conditions will also affect care, but not a key consideration. a. The initial assessment reveals long-term use of opioids for chronic pain. Determine what type of precaution should be set for the following disease: wound infections. Give more than two choices. The patient A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. After assessing the client's pain, which of the following actions should the nurse take? 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 A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. Chronic pain is constant or intermittent pain that persists beyond the expected healing time and that can seldom be attributed to a specific cause or injury. A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN. D) Dependence and health 6. 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. appropriate. Have an opioid antagonist available during the administration. 32. Which of the following methods should the nurse include? The 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. 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. A) Monitor for signs of drug toxicity due to a decrease in metabolism. Feedback: Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. e the, D) Does the increasing medication dosage concern you? Suppose that the price of oil rises. C) Type of procedure be performed The other options are all good answers for this patient because of the patients age and disease process. y little Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. Which of the following should the nurse know in order to use this pain scale? ing plan of. 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, Action should be taken unless there are demonstrable extenuating circumstances. 2) children (PCA) pump. ), "A client's religious beliefs might affect the way they respond to pain.". Ask "What does the pain feel like?" Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. $$. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. neurosurgical approaches to pain management may be considered. ATI: Pain Management Flashcards | Quizlet ATI: Pain Management 4.9 (12 reviews) Term 1 / 7 During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. NSAIDs do not act directly on thehery; this so others may care for him is an intervention that does not address the issue of pain. A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Meditation is one of the recognized mind-body methods of nonpharmacological pain control. Ans: A Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. Assume this is the true population proportion and that you plan to take a sample survey of 540 American adults to further investigate their behavior. C) Unless there is strong evidence to the contrary, we should take the patients report at face value. How does the pain affect your sleep? should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. Of the listed options, a language comparison chart is most plausible. with the preventive pain method when PRN medications are given around the clock. Ans: B Wellness & Self-Care. Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. What treatment would you expect might be tried with this patient? The nurses assessment of the patients pain is a priority. A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine PCA pump. A nurse is assessing a clients pain. Ans: B Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? pain that she rates as 8 on a 0-to-10 point scale. strength and severity are "measures" of the pain. Menstrual discomfort. 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. Feedback: Over time, the patient is likely to become more tolerant of the dosage. Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. 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 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. need to assess prior to giving a first dose of narcotics. Benny When shall I pay for the service taken up for the draft writing? Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. C. This scale is useful for adult patients who have cognitive impairments. b. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. 5) to prevent inadvertent overdosing, the client is the only person who should push the PCA button.