C) Psychosomatic processes D) Osteopenic Jennifer McNeely D40511762 What elements are included in a pain assessment? NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. When asked, the patient rates his pain as a 2 at this time usiomy. The family member is obviously concerned. Feedback: Teaching the family the theory of pain management or the use of alternative therapies and C) Inadequate pain control Overdose is not an inevitable risk, A) Use a pain scale to assess the patients pain, and let the patient know ibuprofen is avaihours if she needs it. Although tolerance to the drug will increase, addiction is not dose related, n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. Ice helps decrease swelling and pain. A) Endorphin levels may vary between patients, affecting the perception of pain. B) Long-term intrathecal or epidural catheter so others may care for him is an intervention that does not address the issue of pain. The Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. 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. Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain $78+$50+$95\$78 + \$50 + \$95 29. problematic. Which of the following provider prescriptions for initial pain relief should the nurse question? Chronic pain is constant or intermittent pain that persistste pain The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes? based on the clients pain and doctors orders decide on what kind and how much prescripted pain medication should be administered; administer analgesic medications before the pain is severe The nurse explains neuropathic pain inwhy. Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. The patient is tearful,ng a 0-to- The nurses assessment of the patients pain is a priority. The patient asks the nurse to describe how this pain-relief method works. This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? 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. Acute pain is usually of recent onset and commonly associated with a specific injury. Smaller drug doses of medication are neededgular Over time, the patient is likely to become more tolerant of the dosage. What teaching should the nurse do with this patient? lable every, B) Do a complete assessment, and give pain medication based on the patients report of pain. This method also reduces, but does not eliminate, adverse effects of the opioid. The patients comorbid conditions will also affect care, but his gender is not a key consideration. Ans: B, C, D, E Suppose that the price of oil rises. When creating a nursing care plan for this patient,tted for the Benny When shall I pay for the service taken up for the draft writing? pain that she rates as 8 on a 0-to-10 point scale. Acuindicates that damage or injury has occurred. inadequate.Whatteachingshouldthenursedowiththispatient? Chronic pain is treatable. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC is problematic. patients care, what variables should you consider? A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout. A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. View All Products Page Link Facebook Question of the Week. 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 has the product solution to help you become a successful nurse. patientisexaggeratingthepainbecausethepatientisthebestauthorityofhisorherexistenceofpain, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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 Offering the medication is more beneficial than letting the patient know ibuprofen is available. Dr. Rebecca Hawkins, PHD - Reviews - Denver, CO This 25-item . pain that she rates as 8 on a 0-to-10 point scale. Feedback: accurate, Your patient is 12-hours post ORIF right ankle. Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care. Ans: C "Can you point to where you are having your pain?". A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. There is no evidence of cognitive deficits in this patient and the difference between acute and intermittent pain has no immediate bearing on this patients care. However, thnurse would be most concerned about in terms of ensuring safety. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine Where on the income statement does a company report an unusual gain not expected to occur more often than once every two years or so? Different people feel different degrees of pain from similar stimuli. Similarly, psychosomatic factors and misperception of pain are highly unlikely. 61 Comments Please sign inor registerto post comments. 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 . 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. Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. C) Placebos are never recommended in the treatment of pain. Which of the following actions should the nurse take? b) An employer might be liable for the actions of its employee outside the scope of employment if the employer was negligent or reckless in allowing it to occur, or for other reasons. temporomandibular disorder. definitive guide to defining psychological disorders. A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. which existing empirical evidence supports each of the three forms of the Oxygen saturation. taking care of the patient. patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. A nurse is caring for two client who are 2 hr postoperative following the same procedure. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . Feedback: Much pain associated with cancer is a direct result of tumor involvement. Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. a) An employer can never be liable for the actions of its employee outside the scope of employment. This scale is useful for adult patients who have cognitive impairments. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Electrolyte values, blood pressure, and hydration status are not what you need to assess prior to giving a first dose of narcotics. 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. A) Assessment for decreased level of consciousness (LOC) The other answers are incorrect. No research indicates that women and/or people need higher doses of morphine to be comfortable. Capnography gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers inadequate. Class of medication used to treat acute postoperative pain. 2) Fatigue, which can increase sensitivity to pain Which of the following is a pain management protocol that should be used by the nurse in this situation? "My pain feels like I'm being stabbed by a knife.". the nurse providing emotional support are important, but the family must be able to operate the pumpwell as know the side effects of the medication and strategies to manage them. Ans: B his gender is. 8. and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. Last year a new car sold for $24,950. The nurse who is a member of the palliative care team is assessing a patient. Is it constant or intermittent? If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? A nurse is caring for a client who has a prescription for heat therapy for knee pain. Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. Action should be taken unless there are demonstrable extenuating circumstances. Little evidence indicates that patients with cancer become addicted to the opioid medications. A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" Which of the following actions should the nurse plan to take? Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. a. y little 28. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. The patient is physically exhibiting signs and symptoms of pain. The nurse should document that the client is experiencing which of the following types of pain? Using the nursing process, on which concepts should the nurse focus the patient teaching? $78+$50+$95. ), "You can be taught how to use TENS therapy at home. Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. 2) clients have less lag time between identified need and delivery of medication, which increases their sense of control and may decrease the amount of medication they need 5) fibromyalgia Distorting the action potential that is transmitted along the A-delta (d) and C fibers. 4) clients who have substance use disorder, Causes of acute and chronic pain include the following, 1) trauma A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. Ch 12 - Test bank - Chapter 12: Pain Management The nurse who is a member of the palliative care - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. C) The patient likely has an underlying psychiatric disorder. Which of the following responses should the nurse take? Of the listed options, a language comparison chart is most plausible. ), Transcutaneous electronic stimulating unit (TENS unit). 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . Flashcards in ATI - Pain Management - 41Deck (112) Loading flashcards. D) Dependence and health Determine what type of precaution should be set for the following disease: wound infections. A) Self-care and safety Select all that apply. B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone B) Monitor for an increase in absorption of the drug due to age-related changes. The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. A nurse is caring for a group of clients on the pediatric unit. Transmission, perception, and modulation are subsequent to this process. Ans: C In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. Click the card to flip Definition 1 / 7 A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. safe manner. Cancer pain is not treated with anti-anxiety medications. 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 policy as it applies to: i. There is no evidence of cognitive deficits in this patient and the differenceand intermittent pain has no immediate bearing on this patients care. Which of the following statements by the patient refers to pain quality? D) When the family becomes concerned about increasing dosage b. The dose range is usually higher with cancer patients. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. 20. Nowhere in the scenario does it indicate the patient is upsetsult in View All Products Facebook Question of the Week The nurse should include that heat therapy is effective for which of the following conditions? A) Teach the family the theory of pain management and the use of alternative therapies. should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? A) Monitor for signs of drug toxicity due to a decrease in metabolism. A) Depression A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN. A. This fact also corresponds to an increased risk of adverse effects. Ans: C Stress is less pronounced in older adults because they generally have more sophisticated coping skills than younger adults. Feedback: Wellness & Self-Care. ^ { 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 } ask the following questions: What makes the pain better? The nurse is caring for a patient with metastatic bone cancer. Pain tolerance is the amount of pain a person is willing to bear. C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. Ans: B Please ask her about pain again inminutes. Creating autonomy is important, but need is a poorly defined concept. The other options are all goodof chronic What would your priority nursing interventions be for this visit? market environment. 23. This patient does not have an addiction and the familys concerns are secondary to those of the patient. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory 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 This fact also 1035 Natoma Street, San Francisco. What happens to the profits of boat makers in the short run? 14. Investigating new alternative pain-management options that are outside the United States is unrealistic and may even be dangerous advice. nonsteroidal anti-inflammatory drug (NSAID) given together. D) One of the patients may be experiencing opioid tolerance. Seventy-two percent of American adults have read a book within the past year. B) Provide psychosocial family support during this emotional experience. 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. Both patients returned from the same type of surgery 2 hours ago. B) Ask the patient to write down a number according to the 0-to-10 point pain scale. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing.
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