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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. Broad agreement is that there are no individuals for whom and no condition for which placebos are the recommended treatment. Which of the following responses should the nurse take? The family would alson of the 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. ", A nurse is discussing the use of heat therapy with a newly licensed nurse. Objective data: Behaviors complement self-report and assist in pain assessment of nonverbal clients, 1) facial expressions (grimacing, wrinkled forehead), body movements (restlessness, pacing, guarding) A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. (Select all that apply. $78+$50+$95. Osteopenic pain is not a recognized category of pain. Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? (PCA) pump. 2) Antianxiety agents: diazepam (Valium) Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. B) Patients comorbid conditions Which of the following actions should the nurse take after performing a pain assessment? 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. appropriate. Ati Video Case Study Pain Management Quizlet | Best Writers. 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. Click the card to flip (Select all that apply. you best apply? I suffer from chronic pain anyway, and now it is so much worse. 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. A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. Both patients returned from the same type of surgery 2 hr ago. 3) prevent gastric upset by administering the medication with food or antacids 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. ATI Funds EXAM 200 Questions PSY215 1-2 assignment EDUC 327 The Teacher and The School Curriculum Document The cell Anatomy and division. Test with =.05\alpha=.05=.05. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. Belief that pain is an expected part of their illness 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. Feedback: D. Determining cost of goods manufactured. 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 The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). Chronic pain istreatable. 2) surgery The A) Endorphin levels may vary between patients, affecting the perception of pain. Feedback: Ans: A The. C) Placebos are never recommended in the treatment of pain. D) Modulation B) We need to provide pain medications because it is the law, and we must always follow the law. 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. With regard to the actions of employees outside the scope of employment, which of the following statements is true? Jennifer McNeely D40511762 What elements are included in a pain assessment? Offering the medication is more beneficial than letting the patient know ibuprofen is available. Phantom pain occurs when the body experiences a loss, such as an amputation, and still feels pain in the missing part. 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. The Ans: A, B, D . gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers (Select all that apply. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. The nurse who is a member of the palliative care team is assessing a patient. C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. Feedback: management. 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? C) The patients allergy status 1) Managing acute severe pain with short-term (24-48 hr) around-the-clock administration of opioids is preferable to following a PRN schedule 2) The parenteral route is best for immediate, short-term relief of acute pain. The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. Feedback: 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. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. A nurse is assessing a clients pain. A transmission 3 Q My pain feels like I'm being stabbed by a knife. When addressing the patients pain in her plan of nursing carat has e, the $$. Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. Which of the following questions should the nurse ask to evaluate the letter "R"? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. epidural catheter may be effective. 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. The nurses assessment of the patients pain is a priority. Seventy-two percent of American adults have read a book within the past year. The initial assessment reveals long-term use of opioids for chronic pain. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. Determining a client's response to a diureticc. "You should write down the pain interventions you use and your pain rating before and after. 5) Glucocorticoids: dexamethasone (Decadron) ), Transcutaneous electronic stimulating unit (TENS unit). 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain Social support ask the following questions: What makes the pain better? 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 . Which of the following statements by the client indicates an understanding of the instructions? Health promotion is an important global concept for maintaining health, and exercise is an appropriate activity; however, self-care and safety are the priorities. 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 latest version of DSM is considered to be the ), Stress This patient does not have an addiction and the familys concerns are secondary to those of the patient. a. (Select all that apply. Which of the following methods should the nurse include? Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. A) Assessment for decreased level of consciousness (LOC) 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. What happens to the profits of boat makers in the short run? D) Dependence and health Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. need to assess prior to giving a first dose of narcotics. Ans: C Different people feel different degrees of pain from similar stimuli. A multimodal regimen combines drugs with different underlying mechanisms, which allows of each of the drugs in the treatment plan, reducing the potential for each to produce adverse efflower dosesects. Which of the following should the nurse know in order to use this pain scale? The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. Use a pain scale specific to each client's cognitive abilities. 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. (Select all that apply. Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. Which of the following statements should the nurse make? nonsteroidal anti-inflammatory drug (NSAID) given together. Which of the following actions should the nurse take? aspects of transmission, perception, or modulation of pain that are listed. Electrolyte values, blood pressure, and hydration status are not what you need to assess prior to giving a first dose of narcotics. market environment. Moving into a nursing homeic when a patient is in intractable 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. What is the nurses best response? Older people may respond differently to pain than younger people. Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. ATI-FUNDAMENTALS-2019-PROCTORED-EXAM-FUNDAMENTALS-PROCTORED-EXAMATI Fundamentals 2019 Proctored Exam |Fundamentals Proctored ExamA nurse is planning care for a group of clients. Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards Much pain associated with cancer is a direct result of tumor involvement. C) Oral analgesia "Biofeedback measures skin tension and uses learned techniques to relieve pain.". 2) cold for inflammation Technical analysis in the form of charting. A. If the intervention was ineffective, the nurse should consider other measures. View All Products Page Link Facebook Question of the Week. When planning theng from a horse. Ans: C What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. Capnography Which of the following actions should the nurse take after performing a pain assessment? This fact also corresponds to an increased risk of adverse effects. A nurse is evaluating a group of clients who are experiencing pain. Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. Action should be taken unless there are demonstrable extenuating circumstances. management. ing plan of. Briefly discuss the implications of the efficient market hypothesis for investment Ans: C If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. 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 Decreasing the need to work does not address his pain. What is the worst/best the pain has been? D) The patients hydration status A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. B) You may have become immune to the effects of the drug. Dr. Rebecca Hawkins, PHD - Reviews - Denver, CO This 25-item . Older adults are not immune to the negative effects of stress. 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? Patients do not become imm indicates thatune to the The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. Which of the following tasks should the nursedelegate to an assistive personnel?a. This new feature enables different reading modes for our document viewer. A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. The patient is physically exhibiting signs and symptoms of pain. What teaching should the nurse do with this patient? If thesepain-relief goals need to be reassessed in collaboration with the physician. (Select all that apply. Does it radiate anywhere else?" E) Prior effectiveness in relieving the pain What would be the nurses best response? 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. RN ATI capstone proctored comprehensive assessment 2019 B . Which of the following statements should the nurse include? The nurse should include that heat therapy is effective for which of the following conditions? answers for this patient because of the patients age and disease process. E. Use of a single Work in Process Inventory account. Ans: A hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. 2) carefully titrate doses while closely monitoring respiratory status The nurse should monitor the client for which of the following adverse effects? A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. Which of the following statements by the client refers to pain quality? Feedback: C) When having to report the patients addiction to her physician Inadequate pain assessment. Cancer pain is not treated with anti-anxiety medications. 5) use a sedation scale in addition to a pain rating scale to assess pain, especially when administering opioids, Pharm made easy 4.0: Introduction to Pharmaco, ATI Fundamentals - Chapter 41 - Pain manageme, critical thinking cards for ATI Proctored exam, ATI Ch 43 Principles of Antimicrobial Therapy, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Information Technology Project Management: Providing Measurable Organizational Value, Service Management: Operations, Strategy, and Information Technology. B) Acute Check the IV site and PCA pump for proper functioning. b. Feedback: 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. What is thee nurse why he has had $$ Nowhere in the scenario does it indicate the patient is upsetsult in A nurse is providing end-of-life care for a client who is unresponsive and near death. guidance would not be a priority at this point and morphine is not the only medication administered byPCA. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? Feedback: The nurse should apply heat therapy to the client's knee for how long? A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. D) Provide medication as per patient request and offer relaxation techniques to promote comfort. B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone It affects only those patients who are already debilitated prior to experiencing pain. (Select all that apply. Which of the following actions should the nurse plan to take? A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. However, further education and assessment are appropriate. I will speak to the doctor about your husbands pain control. Light of wavelength is used in a Michelson interferometer. Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen (Select all that apply. D) The advantages and disadvantages of available pain-relief strategies However, further education and assessment are patients, A comparably equipped car sells this year for$22,500. D) The patient will likely benefit more from distraction than pharmacologic interventions. The patient is asking for a breakthrough dose ofanalgesia. Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. Ans: D Ice helps decrease swelling and pain. Determine what type of precaution should be set for the following disease: wound infections. Low levels of pain are easier to reduce or control than intense levels of pain. inadequate.Whatteachingshouldthenursedowiththispatient? Feedback: 39. Long-term bonds and common stock are constant at$5 million and $10 million, respectively. If the intervention was ineffective, the nurse should consider other measures. ATI has the product solution to help you become a successful nurse. What is the primary ratiadministering pain medication in this manner? When planning thcare, what do you know about the negative effects of the stress associated with pain? Check the IV site and PCA pump for proper functioning. (pq)(pq)(p\rightarrow \neg q)\land(p\land q) 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. An admission essay, for example, from a premium writer will definitely get you into any college despite the toughness of the . Evaluate the client for pain by observing their behavior. Ati-Pain Flashcards | Quizlet Ati-Pain 5.0 (1 review) Term 1 / 27 A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. D. Have an opioid antagonist available during the administration. 4) arthritis used to prevent pain so pain medication is not increased when pain becomes intense. The main reason is that the writing quality premium writers produce is figuratively out of this world. Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. answers are incorrect. Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. 3) older adults 7) Support systems that are present and can decrease sensitivity to pain c. Briefly explain the roles or responsibilities of portfolio managers in an efficient Oneg a pain 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 NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. D) To eliminate the potentially adverse effects of the opioid Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- Which of the following statements by a staff member indicates an understanding of the information? A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. This scale is useful for adult patients who have cognitive impairments. A) Teach the family the theory of pain management and the use of alternative therapies. The other options are all goodof chronic : 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). B) Long-term intrathecal or epidural catheter 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 A nurse is caring for two client who are 2 hr postoperative following the same procedure. "On a scale from 0-10, how do you rate your pain?". A) Chronic Offering spiritual guidance would not be a priority at this point and morphine is not the only medication administered by PCA. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . The nurse should describe what pathophysiologic process? No research indicates cancer patients misreport pain because of confusion related to their disease process. Over the years, therdamage, and the patient is in chronic pain. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. C) Assessment for fluid overload Which of the following should the charge nurse include? How should the nurse best respond to this assessment finding? er the, A) The patients electrolyte levels C) Intermittent Similarly, psychosomatic factors and misperception of pain are highly unlikely. D) Cancer pain is often misreported by patients because of confusion related to their disease process. care for this patient? Many small boats are made of fiberglass, which is derived from crude oil. The client reports taking an opioid prescription for chronic pain. Which of the following is a pain management protocol that should be used by the nurse in this situation? Ati Leadership Quiz 1 Varience (incident) report o When a change is needed in client care Ex: Pre-op client eats before surgery and now surgery must be pushed back o Are not placed in charts o Identify situations that contribute to the occurrence of medication errors A nurse resisting change o Talk to the nurse and find out why Low staff due to Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. In lints chart. The nurse should monitor the client for which of the following adverse effcets? The wife of a patient you are caring for asks to speak with you. A nurse is caring for two patients of different cultural backgrounds. This exquisite Edwardian single-family house has a 1344 Sqft main. A) Medication should be taken when pain levels are low so the pain is easier to reduce. The oral route is better for chronic, nonfluctuating pain The familys insights do not override the patients self-report. 3) Consistent timing and dosing of opioid administration provide consistent pain control 29. his gender is. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. Anxiety is also plausible, but depression is a paramount risk. Here are some atomic masses and the neutron mass. uprofen every. The pain-medication orders are written as a combination of an opioid analgesic and a Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. Acute pain is usually of recent onset and commonly associated with a specific injury. and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? Help students master more than 180 essential nursing skills from the convenience of an online skills lab. When does the tolerance to pain medication become the most significant problem? One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. 3) cancer (tumor invasion, nerve compression, bone metastases, associated infections, immobility) Fifteen minutes after receiving the dose, the client reports to the nurse their pain is still a 7 and has not changed. for ati pain management flashcards on Quizlet. A nurse is caring for two patients of different cultural backgrounds. Feedback: Fibromyalgia is closelchronic pain. medication. Opioid tolerance is associated with chronic pain treatment and would not likely apply to these patients. C) Team leader B. 6. Which of the following provider prescriptions for initial pain relief should the nurse question? ent is, A) Pain often comes and goes with postsurgical patients. It takes less medication to prevent pain than to treat pain. Construct a truth table for the proposition and determine whether the proposition is a contingency, tautology, or contradiction. Pain Management Case Study Ati Quizlet 1647 Orders prepared Download Once the deadline is over, we will upload your order into you personal profile and send you a copy to the email address you used while placing order. nurses best response?