Ans: C Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. Which of the following methods should the nurse include? Action should be taken unless there are demonstrable extenuating circumstances. The initial assessment reveals long-term use of opioids for chronic pain. The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. The requirement for higher drug doses results in a greater drug tolerance, which is a physical dependency as opposed to addiction, which is a psychological dependency. However, further education and assessment are patients, C) Inadequate pain control A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. Feedback: Feedback: Which of the following statements by the client indicates an understanding of the instructions? 3) heat to increase blood flow and to reduce stiffness, Nonpharmacological Pain Management: Distraction, includes ambulation, deep breathing, visitors, television, and music, Nonpharmacological Pain Management: Relaxation, includes meditation, yoga, and progressive muscle relaxation, Nonpharmacological Pain Management: Imagery, 1) focusing on a pleasant thought to divert focus Backache (pq)(pq). Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. C) The influence of the patients cognition on her pain 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. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Ans: A Many small boats are made of fiberglass, which is derived from crude oil. Find the net cost (invoice amount) for the following. A nurse is preparing to assess the pain level of a 4-year-old child. ey are not what the, You are caring for a patient with sickle cell disease in her home. The family would alson of the If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? NSAIDs do not act directly on thehery; this 3) Genetic sensitivity, which can increase or decrease pain tolorance management. Feedback: Which of the following is a pain management protocol that should be used by the nurse in this situation? market environment. C) Placebos are never recommended in the treatment of pain. Which of the following statements by the patient refers to pain quality? When planning theng from a horse. 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. A) To prevent respiratory depression from the opioid 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. 8. ing plan of. D) The patient may want to relocate to long-term care in order to have his ADL needs met. y little ATI Funds EXAM 200 Questions PSY215 1-2 assignment EDUC 327 The Teacher and The School Curriculum Document The cell Anatomy and division. need to assess prior to giving a first dose of narcotics. A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants (Select all that apply. When does the tolerance to pain medication become the most significant problem? 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. Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? ^{152}_{63}Eu taking care of the patient. Which of the following actions should the nurse take? Feedback: This regimemotivated by the need to prevent respiratory depression or to eliminate nighttime dosing. In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. The client can identify a minty . The nurse should monitor the client for which of the following adverse effcets? The client reports taking an opioid prescription for 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. A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. Weight Mass Student - Answers for gizmo wieght and mass description. A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Prior debilitation does not have to be present in order for stress to cause potential harm. Which of the following characteristics applies to process costing but not to job order cost accounting? Further teaching may need to be done so the patient can correctly rate the pain. C. This scale is useful for adult patients who have cognitive impairments. Which of the following actions should the nurse plan to take to evaluate the clients' pain control? patients. C) Oral analgesia Test. View All Products Facebook Question of the Week 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. Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. 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. Suppose that the price of oil rises. $78+$50+$95\$78 + \$50 + \$95 The nurse should document that the client is experiencing which of the following types of pain? 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 Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen Little evidence indicates that patients with cancer become addicted to the opioid medications. Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is A nurse is caring for a client who has kidney stones. ask the following questions: What makes the pain better? Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. The family member is obviously ATI Pain Management Posttest Flashcards | Quizlet ATI Pain Management Posttest 5.0 (2 reviews) Term 1 / 7 A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Which of the following statements by the patient refers to pain quality? Discuss each of these separately. "You should write down the pain interventions you use and your pain rating before and after. This scale is useful for adult patients who have cognitive impairments. 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. Over time, the patient is likely to become more tolerant of the dosage. self-care and safety are the priorities. 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. A nurse is evaluating a group of clients who are experiencing pain. 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 ? NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. dependency as opposed to addiction, which is a psychological dependency. This patient does not have an adthe familys concerns are secondary to those of the patient. Older people may respond differently to pain than younger people. 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. Ans: B Assume this is the true population proportion and that you plan to take a sample survey of 540 American adults to further investigate their behavior. for ati pain management flashcards on Quizlet. D) Provide family teaching regarding use of morphine, recognizing morphine overdose, and offeringspiritual guidance. Meditation is one of the recognized mind-body methods of nonpharmacological pain control. A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse. 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. Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. Much pain associated with cancer is a direct result of tumor involvement. B) Pain medication can be increased when the pain becomes intense. (Select all that apply. The patient is tearful,ng a 0-to- which existing empirical evidence supports each of the three forms of the What is the nurses best response? B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. Similarly, psychosomatic factors and misperception of pain are highly unlikely. Anxiety is also plausible, but depression is a paramount risk. This principle supersedes the other listed statements. B) Provide psychosocial family support during this emotional experience. 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 Select all that apply. Chronic pain and acute pain are not mutually exclusive. 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. "What does your pain feel like?" *Assess the quality of the client's pain by asking him to describe how it feels. Which of the following should the nurse know in order to use this pain scale? Feedback: Here are some atomic masses and the neutron mass. Cancer pain can be either acute or chronic, and you do not tell a family member that you are going to keep increasing the dosage of the medication until it doesnt hurt anymore. This fact also corresponds to an increased risk of adverse effects. During a pain assessment, a nurse asks questions about the quality of an adult clients pain. Low levels of pain are easier to reduce or control than intense levels of pain. The family members will bevering a Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. before he got cancer because he broke his back about 20 years ago. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. ask the following questions: Where are you when the symptoms occur? Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. Feedback: Students also viewed Concept Map-AHI Sinus Rhythms - Exam Study Material Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. Disease severity. 1) Anticonvulsants: carbamazepine (Tegretol) A transmission 3 Q At the given value of x, find (c) the rate of change of y, (d) the relative rate of change of y, and (e) the percentage rate of change of y. y = f(x) = 9 - 5x; x = 3. This patientght of the Light of wavelength is used in a Michelson interferometer. Little evidencepatients with cancer become addicted to the opioid medications. 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. Skills Modules 3.0. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. Have the client rate their pain using a standard scale. 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. C) Monitor for a paradoxical increase in pain with opioid administration. A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. The nurse should not assume thelerance is associated with Paradoxical effects are not a common phenomenon. 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. The main reason is that the writing quality premium writers produce is figuratively out of this world. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Ans: B 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. B) The patients blood pressure 5. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. Stress is less pronounced in older adults because they generally have more sophisticated coping skills than younger adults. Feedback: If thesepain-relief goals need to be reassessed in collaboration with the physician. Which of the following pain assessment tools should the nurse use? "Can you point to where you are having your pain?". The dose range is usually higher with cancer patients. 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. This requires the ability to perform self-care activities in a safe manner. Ans: C Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . A) Endorphin levels may vary between patients, affecting the perception of pain. n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. The patient lable every, B) Do a complete assessment, and give pain medication based on the patients report of pain. ent is, A) Pain often comes and goes with postsurgical patients. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. The nurse educates the mother about whher pain management? In which way should the nurse categorize this client's pain? Ans: D The oral route is better for chronic, nonfluctuating pain Self-report using standardized pain scales is useful for clients over the age of 7 years. D. Have an opioid antagonist available during the administration. Over time, the patient is likely to become more tolerant of the dosage. C(t)={00.034(t226t+48)for0t2for2t24. View All Products Facebook Question of the Week The patient is physically exhibiting signs and symptoms of pain. My pain feels like I'm being stabbed by a knife. b. Determine whether the given pairs of triangles are similar or not, and explain how you know. 3) neuropathic pain is usually intense, shooting, burning, or described as "pins and needles" ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. Cancert/family Which of the following statements by the patient refers to pain quality? Because elderly people have a slowermetabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of As a result,e states that Ans: C Offering the medication is more beneficial than letting the patient know ibuprofen is available. management. Technical analysis in the form of charting. Which of the following actions should the nurse take? A broad definition of pain is whatever the person says it is, existing whenever the experiencing person says it does. Ans: D 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. The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. medication. The nurse should monitor the client for which of the following adverse effects? The dose range is usuallyhigher with cancer patients. pain management? 12 Test Bank - Gould's Ch. Class of medication used to treat acute postoperative pain. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. ATI Proctored Comprehensive B 15 Hour Exam 80 Benchmark 653 On Your Screen Ati proctored comprehensive b 15 hour exam 80 School Bryant and Stratton College, Milwaukee Course Title NURS 301 Uploaded By b00543232 Pages 28 Ratings 80% (5) This preview shows page 7 - 9 out of 28 pages. (Select all that apply. The patient is asking for a breakthrough dose ofanalgesia. c. Briefly explain the roles or responsibilities of portfolio managers in an efficient 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 C) The patient may want to increase his exercise and activities significantly to create distractions. Long-term bonds and common stock are constant at$5 million and $10 million, respectively. . Changing the dressing for a client who has a stage 3 pressure injuryb. patient is in so much pain that he cannot institute reliable alternative methods. EMH. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. Ans: B Chronic pain is constant or intermittent pain that persistste pain A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver.
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