Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. C) The patient likely has an underlying psychiatric disorder. However, further education and assessment are appropriate. When addressing the patients pain in her plan of nursing carat has e, the Older adults are not immune to the negative effects of stress. The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. Which of the following statements by the client refers to pain quality? 1035 Natoma Street, San Francisco. B) Misperception Ans: A y associated with, You are caring for a patient admitted to the medical-surgical unit after fallistates I hurt so bad. 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 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 pain management protocols should the nurse use when caring for this client? A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. The client reports unbearable pain after attempting six demand doses within the last hour. 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 Bedrooms. 14. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. The other options are all goodof chronic Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. Of the listed options, a language comparison chart is most plausible. A 74-year-old woman was diagnosed with rheumatoid arthritis 1 year ago, but has achieved adequatesymptom control through the regular use of celecoxib (Celebrex), a COX-2 selective NSAID. The patient is physically exhibiting signs and symptoms of pain. Which of the following provider prescriptions for initial pain relief should the nurse question? Ans: A 3) older adults The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Select all that apply. Skills Modules 3.0. If thesepain-relief goals need to be reassessed in collaboration with the physician. Offering the medication is more beneficial than letting the patient know ibuprofen is available. 2) The parenteral route is best for immediate, short-term relief of acute pain. Low levels of pain are easier to reduce or control than intense levels of pain. Depression is associated with chronic pain and can be exacerbated by the effects of chronic fatigue. C) Check for allergies, use a pain scale to assess the patients pain, and offer the ibhours until the patient is discharged. 3) explaining misconceptions about pain Moving into a nursing homeic when a patient is in intractable After assessing the client's pain, which of the following actions should the nurse take? Ask the client to point to the location. Technical analysis in the form of charting. 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. Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. D) Administer an analgesic and then reassess. Decreasing the need to work does not address his pain. 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. Which of the following should the nurse know in order to use this pain scale? No research indicates cancer patients misreport pain because of confusion related to their disease process. Which of the following statements by the patient refers to pain quality? ), Transcutaneous electronic stimulating unit (TENS unit). D) One of the patients may be experiencing opioid tolerance. 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 nurse who is a member of the palliative care team is assessing a patient. The patient asks the nurse to describe how this pain-relief method works. ? . D) The patient may want to relocate to long-term care in order to have his ADL needs met. List price: $1308\$ 1308$1308 less 20/2520 / 2520/25. Feedback: Class of medication used to treat acute postoperative pain. E) Prior effectiveness in relieving the pain View All Products Facebook Question of the Week A nurse is evaluating a client's pain level using the PQRST mnemonic. ", A nurse is discussing the use of heat therapy with a newly licensed nurse. The other answers are incorrect. D) Drug interactions Drug interactions are more likely to occur in older adults because of the higher incidence illness and the increased use of prescription and OTC medications. 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 ATI: Pain Management Posttest Flashcards | Quizlet ATI: Pain Management Posttest 4.9 (22 reviews) Term 1 / 7 A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. The client reports taking an opioid prescription for chronic pain. Which of the following statements should the nurse include? Find the net cost (invoice amount) for the following. C) You may be developing a mild addiction to the drug. : 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). Mansfield Corporation had 20X1 sales of $100 million. This patient does not have an adthe familys concerns are secondary to those of the patient. A nurse is about to use the Wong-Baker FACES pain level. D) Inhibiting transduction by blocking the formation of prostaglandins in the periphery Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, The client can identify a minty . The elderly have slowed metabolism and excretion, and, therefore, the elderly should receive a lower dose of pain medication given over a longer period time, which may help to limit the potential for confusion. b. Which of the following methods should the nurse include? Acute pain is usually of recent onset and commonly associated with a specific injury. What makes the pain worse? 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. What treatment would you expect might be tried with this patient? Ans: B ", A nurse is discussing cutaneous stimulation with a client who has back pain. ), Respiratory rate A nurse is caring for a client who has a prescription for heat therapy for knee pain. This patient does not have an addiction and the familys concerns are secondary to those of the patient. D) Neuropathy, Ans: D A nurse is providing end-of-life care for a client who is unresponsive and near death. A) Teach the family the theory of pain management and the use of alternative therapies. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy 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: 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. The dose range is usuallyhigher with cancer patients. Ans: C NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the peripis a central component of the pathophysiology of transduction. ATI has the product solution to help you become a successful nurse. 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 Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. This principle supersedes the other listed statements. The nurse should describe what pathophysiologic process? 39. The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. D) Case manager The family member is obviously concerned. A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. You review her PRN medications and see that she has an NSAID 2) surgery (Select all that apply. Does it radiate anywhere else?" (PCA) pump. 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 responses should the nurse take? The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. care for this patient? The nurse Which of the following actions should the nurse plan to take to evaluate the clients' pain control? but is a separate psychological dependency issue. definitive guide to defining psychological disorders. Culture 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. Construct a truth table for the proposition and determine whether the proposition is a contingency, tautology, or contradiction. the nurse should teach the patient which of the following? Ans: B Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adeqcontrol. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. 2) Antianxiety agents: diazepam (Valium) ), Muscular pain 6. at aspect of. ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain. the, A) Neuroplasticity Feedback: 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. Stress is less pronounced in older adults because they generally have more sophisticated coping skills than younger adults. diction and, You are admitting a patient to your rehabilitation unit who has a diagnosis of persistent, sevAccording to the patients history, the patients pain has not responded to conventional approaches to painere pain. B) Resources that can assist the patient with pain management A) Self-care and safety Feedback: ATI RN Capstone Proctored Comprehensive Assessment 2019 B ATI 2019 $ 11.00 Add to cart ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM . The The dose range is usually higher with cancer patients. This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. Which of the following categories should the nurse include? 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) Over time you become more tolerant of the drug. 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. Feedback: Which of the following clients should the nurse identify as experiencing neuropathic pain? functional ability and may have to be readmitted to an acute-care facility. The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve pain. The nurse knows that the child is at greatest risk for which acid- a. acidosis b. . Patients requiring opioids for chronic pain, especially cancer patients, need increasing doses to relieve pain. a. nurse should consider what characteristic of cancer pain? (Select all that apply. C) Psychosomatic processes D) Provide medication as per patient request and offer relaxation techniques to promote comfort. Which of the following should the nurse know in order to use this pain scale? B. pain that she rates as 8 on a 0-to-10 point scale. answers are incorrect. Ans: B Many small boats are made of fiberglass, which is derived from crude oil. Ans: C In those situations, neurologic and neurosurgical approaches to pain management may be considered. Which of the following examples should the nurse include as an example of autonomy? A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. Which of the following tasks should the nursedelegate to an assistive personnel?a. Which of the following statements by the patient refers to pain quality? B) Acute B) The patient is likely frustrated because she has to be in the hospital. Fibromyalgia is closely associated with chronic pain. What happens to the profits of boat makers in the short run? indication that the patients medication will be discontinued. ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. The nurses assessment of the patients pain is a priority. Hyperexcitable nerve endings in the periphery can become damaged, leading to abnormal reorganization of the nervous system called neuroplasticity, an underlying mechanism of some neuropathic pain states. However, thnurse would be most concerned about in terms of ensuring safety. trigeminal neuralgia. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. Have an opioid antagonist available during the administration. Skin breakdown and hallucinations are much less likely. Creating autonomy is important, but need is a poorly defined concept. D) Administer analgesics every 4 to 6 hours as ordered to control pain. pain management? Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. B) Provide psychosocial family support during this emotional experience. The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? 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 Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? Determine what type of precaution should be set for the following disease: wound infections. Older people may respond differently to pain than younger people. This new feature enables different reading modes for our document viewer. 22. A) Use a chart with English on one side of the page and the patients native language on the other so hecan rate his pain. 2) moaning, crying The patient asks does it still feel like my leg is attached, and why does it still hurt? Which of the following statements by a staff member indicates an understanding of the information? guidance would not be a priority at this point and morphine is not the only medication administered byPCA. True or false? Evaluate the client for pain by observing their behavior. The other options are all good answers for this patient because of the patients age and disease process. Feedback: answers for this patient because of the patients age and disease process.
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