Technical analysis in the form of charting. What is the nurses best response? 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 The patient will be at home monitoring his own pain management, administering his own medication, and monitoring and reporting side effects. 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 . 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. Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. Which of the following is a pain management protocol that should be used by the nurse in this situation? Which of the following actions should the nurse take? Which of the following statements by the client refers to pain quality? 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 . ask the following questions: Where are you when the symptoms occur? Feedback: The VAS requires English language skills, even though it is visual. "On a scale from 0-10, how do you rate your pain?". Health promotion is an important global concept for maintaining health, and exercise is an appropriate activity; however, self-care and safety are the priorities. Feedback: It is tempting to expect that people who have had multiple or prolonged experiences with pain will be less anxious and more tolerant of pain than those who have had little experience with pain. Creating autonomy is important, but need is a poorly defined concept. D) The patients hydration status A) Medication should be taken when pain levels are low so the pain is easier to reduce. Cross), Give Me Liberty! A nurse is assessing a client's cranial nerves. Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards The nurse should monitor the client for which of the following adverse effcets? 7) Support systems that are present and can decrease sensitivity to pain pain scale. y little 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. A nurse is caring for a client who has kidney stones. Which of the following can the nurse be charged with? Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? Ans: C Smaller drug doses of medication are neededgular A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. B) Transmission, C) Perception B) The patients blood pressure Ans: C The nurse should describe what pathophysiologic process? My pain feels like I'm being stabbed by a knife. Although tolerance to the drug will increase, addiction is not dose related, Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes? A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. C) Reassess the patients pain in 30 minutes. "You should write down the pain interventions you use and your pain rating before and after. 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. 3) Tricyclic antidepressants: amitriptyline (Elavil) How should you most accurately assess this patients pain? Which of the following pain management protocols should the nurse use when caring for this client? Feedback: Using the nursing process, on which concepts should the nurse focus the patient teaching? B) The patient is likely frustrated because she has to be in the hospital. a. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Feedback: A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. What are you doing when the symptoms occur? What type of pain are you addressing when you provider vehicle Depression is associated with chronic pain and can be exacerbated by the effects of chronic fatigue. 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. 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. The nurse is assessing a patients pain while the patient awaits a cholecystecthesitant to move, and grimacing. 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 Capnography 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. C) Health promotion and exercise D) Intramuscular analgesia In which way should the nurse categorize this client's pain? Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain 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. 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. A) Chronic A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. This fact also The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. E. Use of a single Work in Process Inventory account. Ans: A View All Products Page Link Facebook Question of the Week. A) Assessment for decreased level of consciousness (LOC) ), Stress A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. Class of medication used to treat acute postoperative pain. The scenario does not indicate the present pain-management orders are not working for this patient. Determine whether the given pairs of triangles are similar or not, and explain how you know. QSEN competency of safety, what is the nurse most concerned about with this patient? The nurse who is a member of the palliative care team is assessing a patient. 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) This patient does not have an adthe familys concerns are secondary to those of the patient. Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. "Biofeedback measures skin tension and uses learned techniques to relieve pain.". 3) fear of addiction 5) Glucocorticoids: dexamethasone (Decadron) Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. 2) Antianxiety agents: diazepam (Valium) Paradoxical effects are not a common phenomenon. 8. View All Products Facebook Question of the Week B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone 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? 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. It is particularly harmful in the elderly who have been injured or who are ill. The client has never taken hydromorphone before. The client reports taking an opioid prescription for chronic pain. Electrolyte values, blood pressure, and hydration status are should assess for any not what you 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. 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, A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Ans: B During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Determining a client's response to a diureticc. Offer to assist the client with nonpharmacological relief strategies. A broad definition of pain is whatever the person says it is, existing whenever the experiencing person says it does. ), Muscular pain . Which of the following statements should the nurse make to the client's family? The initial assessment reveals long-term use of opioids for chronic pain. If thesepain-relief goals need to be reassessed in collaboration with the physician. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. What treatment would you expect might be tried with this patient? A) To prevent respiratory depression from the opioid (TENS) (Select all that apply. A) Placebos require a higher level of informed consent than conventional care. A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. t the patients, As always, the best guide to pain management and administration of analgesic agents in allregardless of age, is what the individual patient says. Medication should begin at a low dose and slowly increase until the pain is managed. Paradoxical effects are not a common phenomenon. A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. Pain associated with cancer may be acute or chronic. B) One of the patients is exaggerating his or her sense of pain. What happens to the number of boat makers in the long run? Ans: A . Feedback: . Feedback: Feedback: She states, He was in pain longned ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain. Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? The client can identify a minty . You review her PRN medications and see that she has an NSAID Which of the following actions should the nurse take? 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: Feedback: 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. 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. The requirement for higher drug doses results in a greater drug tolerance, which is a physing doses to relievecal Which of the following statements by the patient refers to pain quality? If the intervention was ineffective, the nurse should consider other measures. Feedback: Opioids are not absolutely contraindicated and confusion following surgery is never normal. D) Its not unusual for patients to misreport pain to get our attention when we are busy. Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. about the hospitalization or that she has a psychiatric disorder. Little evidence indicates that patients with cancer become addicted to the opioid medications. 14. Pain tolerance is the amount of pain a person is willing to bear. Feedback: What is the nurses most plausible rationale for underspatients different perceptions of pain? 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy 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. Round to the nearest cent. with the preventive pain method when PRN medications are given around the clock. Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. a. A nurse is preparing to assess the pain level of a 4-year-old child. B) Resources that can assist the patient with pain management pain that she rates as 8 on a 0-to-10 point scale. Level: College, High School, University, Master's, PHD, Undergraduate. The patients comorbid conditions will also affect care, but his gender is not a key consideration. If PCA is to be used in the patients home, the patient and family are taught about the operatiopump as well as the side effects of the medication and strategies to manage them. B) Chronic illness Nowhere in the scenario does it indicate the patient is upsetsult in (Select all that apply. Which of the following should the nurse expect to be the same for both patients? strength and severity are "measures" of the pain. Patients do not become imm indicates thatune to the The B) Ask the patient to write down a number according to the 0-to-10 point pain scale. B) Patients comorbid conditions Moving into a nursing homeic when a patient is in intractable 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 The client's family asks the nurse about managing the client's pain. answers for this patient because of the patients age and disease process. B. Identifiable units of production. 5) creating a treatment plan that includes both nonpharmacological and pharmacological pain-relieving measures. 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. myofascial pain syndrome. ID 4817 Quick Delivery from THREE hours ATI PEDIATRIC Proctored Exam (New 2020 / 2021) 1. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory 2) cold for inflammation A nurse is providing end-of-life care for a client who is unresponsive and near death. B) When dealing with withdrawal symptoms resulting from the tolerance What teaching should the nurse do with this patient? ", A nurse is discussing cutaneous stimulation with a client who has back pain. B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. Low levels of pain are easier to reduce or control than intense levels of pain. Ans: A is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. A. At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. pain. Feedback: Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. B. Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. Fifteen minutes after receiving the dose, the client reports to the nurse their pain is still a 7 and has not changed. Investigating new alternative pain-management options that are outside the United States is unrealistic and may even be dangerous advice. A nurse is caring for a client who has a prescription for heat therapy for knee pain. 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 $$. RN ATI Capstone Proctored Comprehensive Assessment B Home > Product View Cart RN ATI Capstone Proctored Comprehensive Assessment B This assessment is a part of the ATI Capstone Package and can not be purchased separately. (b) What is the deflation rate? What makes the pain worse? The nurses assessment of the patients pain is a priority. The nursing care of patients who undergo procedures for the relief of chronic pain depends on the type of procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function that accompany the procedure. What happens to the profits of boat makers in the short run? ), Respiratory rate Ask the following questions: How much pain do you have now? b. market environment. B) Assessment for respiratory depression guidance would not be a priority at this point and morphine is not the only medication administered byPCA. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) HOW? Compare and contrast India's oil When planning thcare, what do you know about the negative effects of the stress associated with pain? B) Long-term intrathecal or epidural catheter Click the card to flip Definition 1 / 7 A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. Feedback: C. Equivalent units of production. patients. Teaching the family the theory of pain management or the use of alternative therapies and and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? C) The patients allergy status 4.9/5. policy as it applies to: i. Acute pain indicates that damage or injury has occurred. 3) stop the opioid and give the antagonist naloxone (Narcan) if respiratory rate is below 8/min and shallow, or the client is difficult to arouse Many small boats are made of fiberglass, which is derived from crude oil. 2) lack of knowledge Each samples productivity data are required to be normally distributed. The nurse se are ineffective,rves as the ), Fear of addiction The nurse should monitor the client for which of the following adverse effects? that accompany the procedure. D) The patient will likely benefit more from distraction than pharmacologic interventions. The oral route is better for chronic, nonfluctuating pain Ans: C Ans: A D) One of the patients may be experiencing opioid tolerance. This fact also corresponds to an increased risk of adverse effects. 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. $$ D) Provide family teaching regarding use of morphine, recognizing morphine overdose, and offeringspiritual guidance. tanding the Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1). The nurse who is a member of the palliative care team is assessing a patient. Which of the following statements by a staff member indicates an understanding of the information? (Select all that apply. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the peripis a central component of the pathophysiology of transduction.
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