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2) surgery Which of the following is a pain management protocol that should be used by the nurse in this situation? A nurse is caring for a client who has kidney stones. Which of the following questions should the nurse ask the client to assess the quality of the pain? A) Patients gender . What is the binding energy per nucleon of the europium isotope The client reports unbearable pain after attempting six demand doses within the last hour. Frequency of administration will vary widely according to numerous variables. Which of the following statements by the patient refers to pain quality? Capnography ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? You cannot usually treat pain the patient denies having if the orders are PRN onlyscenario does not indicate the present pain-management orders are not working for this patient. (Select all that apply. View All Products Page Link Facebook Question of the Week. Class of medication used to treat acute postoperative pain. Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the peripis a central component of the pathophysiology of transduction. Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. Wellness & Self-Care. Ans: C Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. 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. a) An employer can never be liable for the actions of its employee outside the scope of employment. In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. 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. b. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adeqcontrol. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) What happens to the profits of boat makers in the short run? Fibromyalgia is closely associated with chronic pain. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. D) The advantages and disadvantages of available pain-relief strategies One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. Compare and contrast India's oil The nurse explains neuropathic pain inwhy. Frequency of administration will vary widely according to numerous variables. Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. Paradoxical effects are not a common phenomenon. terms that are accessible to the patient. Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. Which of the following should the nurse know in order to use this pain scale? Giving the patient alternative methods to control pain is good, but it will not work if the Feedback: Please ask her about pain again inminutes. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. C) Placebos are never recommended in the treatment of pain. D) Placebos require the active participation of the patients family. 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. A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. The nurse should include that heat therapy is effective for which of the following conditions? Which of the following actions should the nurse take? The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. B) Monitor for an increase in absorption of the drug due to age-related changes. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. (Select all that apply. 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 Ice helps decrease swelling and pain. gabapentin (Neurontin). 4.9/5. A) Assessment for decreased level of consciousness (LOC) Feedback: pain management? The patients comorbid conditions will also affect care, but his gender is not a key consideration. Which of the following statements should the nurse include? ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife A nurse is caring for two patients of different cultural backgrounds. A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. Ans: C If the intervention was ineffective, the nurse should consider other measures. Which of the following statements by the patient refers to pain quality? B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone A) Remind the patient that he is indeed experiencing pain. B) Patients comorbid conditions What is the primary ratiadministering pain medication in this manner? Ans: C (TENS) Here are some atomic masses and the neutron mass. Test. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Determine whether the given pairs of triangles are similar or not, and explain how you know. The nurse caring for a 91-year-old patient with osteoarthritis is reviewing the patieis on a variety of medications prescribed by different care providers in the community. The nurse should reply that biofeedback involves: Measuring skin tension and using learned techniques to relieve pain, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Service Management: Operations, Strategy, and Information Technology, Information Technology Project Management: Providing Measurable Organizational Value, NUR379 Evolve: Pediatric Hematology Disorders. Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. After assessing the client's pain, which of the following actions should the nurse take? 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . Give more than two choices. Oneg a pain Anxiety is also plausible, but depression is a paramount risk. 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 . B) Reinforce teaching about the pain scale number system. ATI Leadership Management Proctored Exam (CHECK THE LAST PAGE FOR DETAIL SOLUTION) 5. negative airflow pressure (6-12 exchanges/hr) surgical mask when transporting. 5. D) Osteopenic This regimemotivated by the need to prevent respiratory depression or to eliminate nighttime dosing. The patient For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? A) I didnt know that. Both patients returned from the same type of surgery 2 hr ago. A nurse is evaluating a client's pain level using the PQRST mnemonic. Ans: C at aspect of. problematic. B) Chronic illness C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. Which of the following pain management protocols should the nurse use when caring for this client? A) Over time you become more tolerant of the drug. 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. 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? The How often does it occur? ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. How does the pain affect your ability to work and do your job? 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. 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. 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 initial assessment reveals long-term use of opioids for chronic pain. Find the net cost (invoice amount) for the following. The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. 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. D) Changes in neurologic function due to the procedure 2) Fatigue, which can increase sensitivity to pain C) You may be developing a mild addiction to the drug. 3) Genetic sensitivity, which can increase or decrease pain tolorance B) Assessment for respiratory depression final exam review pharmacology ati flashcards quizlet. which of the following pain Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of the People Grand Canyon University Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. c) an employer is always liable for the actions of its employee outside the scope of employment, d) an employer can never be liable for the actions of its employee unless they are relatives, Exercise 13.25 required you to conduct a t-test of the difference between two means. tanding the Neuroplasticity is the ability of the peripheral and central nervous systalgesic agents forems to change medication. When asked, the patient rates his pain as a 2 at this time usiomy. Medication should begin at a low dose and slowly increase until the pain is managed. Which of the following can the nurse be charged with? Have an opioid antagonist available during the administration. As always, the best guide to pain management and administration of analgesic agents in all patients, regardless of age, is what the individual patient says. * A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. y associated with, You are caring for a patient admitted to the medical-surgical unit after fallistates I hurt so bad. ing plan of. Social support Although all answers are correct, the most accurate conclusion would be to reinforce teaching about the pain scale. Feedback: The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. Ans: A, B, D 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. Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. Ans: B This method also reduces, but does not eliminate, adverse effects of the opioid. pain. Each samples productivity data are required to be normally distributed. 2) children 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery (Select all that apply. What is thee nurse why he has had When planning thcare, what do you know about the negative effects of the stress associated with pain? b. B) The patient is likely frustrated because she has to be in the hospital. The more experience a person has had with pain, the more frightened he or she may be about subsequent painful events. What teaching should the nurse do with this patient? The familys insights do not override the patients self-report. (Select all that apply. (b) What is the deflation rate? Which of the following should the charge nurse include? Culture Nurses should understand the effects of chronic pain on patients and families and should beknowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain A nurse provides a client with the opportunity to take an intramuscular injection or oral medication for pain relief. Oxygen saturation. The client can identify a minty . ask the following questions: Where are you when the symptoms occur? 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy A Your order is written Before any paper is delivered to you, it first go through our strict checking process in order to ensure top quality. A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. 23. patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. The nurse serves as the patients advocate in obtaining additional pain relief. Ans: B pain scale. 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. Does it radiate anywhere else?" A) Medication should be taken when pain levels are low so the pain is easier to reduce. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants What are you doing when the symptoms occur? 1) Anticonvulsants: carbamazepine (Tegretol) missing part. The client's report of pain is the most reliable diagnostic measure of pain. ey are not what the, You are caring for a patient with sickle cell disease in her home. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. Osteopenic pain is not a recognized category of pain. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine PCA pump. Which of the following provider prescriptions for initial pain relief should the nurse question? 2) eventually, increase in vital signs will stabilize despite the persistence of pain. A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. Which of the following provider prescriptions for initial pain relief should the nurse question? C) Monitor for a paradoxical increase in pain with opioid administration. Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. Many small boats are made of fiberglass, which is derived from crude oil. A nurse is caring for two client who are 2 hr postoperative following the same procedure. When creating a nursing care plan for this patient,tted for the (Select all that apply. B) Provide psychosocial family support during this emotional experience. A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse. 2) cold for inflammation Pharmacological Interventions: Strategies specific for relieving chronic pain include the about interventions, plus: 1) administering long-acting or controlled-release opioid analgesics (including the transdermal route) Little evidence indicates that patients with cancer become addicted to the opioid medications. 47 Care of the patient with a cardiovascu, Chapter 11 Pain Management Prep U 40 questions. The nurse who is a member of the palliative care team is assessing a patient. Construct a truth table for the proposition and determine whether the proposition is a contingency, tautology, or contradiction. analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. 61 Comments Please sign inor registerto post comments. (Select all that apply. 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. B) Pain medication can be increased when the pain becomes intense. patient is in so much pain that he cannot institute reliable alternative methods. before he got cancer because he broke his back about 20 years ago. C) Assessment for fluid overload 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. Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. The Offering the medication is more beneficial than letting the patient know ibuprofen is available. ", A nurse is discussing cutaneous stimulation with a client who has back pain. Which of the following actions should the nurse plan to take to evaluate the clients' pain control? D) The patient may want to relocate to long-term care in order to have his ADL needs met. Acute pain is usually of recent onset and commonly associated with a specific injury. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory production and consumption in 2000and in 2010. However, this is not true for many people. ), Respiratory rate Skills Modules 3.0. 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, D) When the family becomes concerned about increasing dosage Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) Offer to assist the client with nonpharmacological relief strategies. inadequate.Whatteachingshouldthenursedowiththispatient? Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. the mother is afraid that her daughter will overdose. The dose range is usually higher with cancer patients. aspects of transmission, perception, or modulation of pain that are listed. A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago.

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