Fifteen minutes after receiving the dose, the client reports to the nurse their pain is still a 7 and has not changed. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Order Now Quantity: Call For Pricing!RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019FORM B.180 Q&A. Frequency of administration will vary widely according to numerous variables. Paradoxical effects are not a common phenomenon. The Over time, the patient is likely to become more tolerant of the dosage. tanding the The patient has developed a tolerance to her usual paine has been joint Pain Management ATI Flashcards | Quizlet Pain Management ATI 5.0 (8 reviews) Term 1 / 7 A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. How should you most accurately assess this patients pain? Explain. My pain feels like I'm being stabbed by a knife. At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. The latest version of DSM is considered to be the The nurse should document that the client is experiencing which of the following types of pain? myofascial pain syndrome. Ans: B, C, D, E Decreasing the need to work does not address his pain. Which of the following is a pain management protocol that should be used by the nurse in this situation? B) You may have become immune to the effects of the drug. How often does it occur? Which of the following statements should the nurse include? Which of the following examples should the nurse include as an example of autonomy? Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. (Select all that apply.). This method also reduces, but does not eliminate, adverse effects of the opioid. Give more than two choices. A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. 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 Acute pain is usually of recent onset and commonly associated with a specific injury. pain scale. pain that she rates as 8 on a 0-to-10 point scale. Feedback: B) Transmission, C) Perception What is the nurses best response? A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN. "Biofeedback measures skin tension and uses learned techniques to relieve pain.". Acute pain indicates that damage or injury has occurred. Which of the following questions should the nurse ask the client to assess the quality of the pain? The. However, further education and assessment are patients, (Select all that apply. The initial assessment reveals long-term use of opioids for chronic pain. ask the following questions: Where are you when the symptoms occur? The patient will be at home monitoring his own pain management, administering his own medication, and monitoring and reporting side effects. Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. A nurse is reviewing discharge instructions for a client who has a prescription for morphine oral solution 10 to 20 mg every 4 hr PRN. Jennifer McNeely D40511762 What elements are included in a pain assessment? If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. Action should be taken unless there are demonstrable extenuating circumstances. Dependence is not a concept used to develop a nurscare, and health is too broad a concept to use as a basis for a nursing plan of care. 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. What is the primary ratiadministering pain medication in this manner? Because elderly people have a slower metabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of analgesic agents may be sufficient to relieve pain, and these doses may be effective longer. The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. 2) administering analgesics around the clock rather than PRN, Undertreatment of pain is a serious complication and may lead to, increased anxiety with acute pain and depression with chronic pain. A) Monitor for signs of drug toxicity due to a decrease in metabolism. D) One of the patients may be experiencing opioid tolerance. Better pain control can be achieved with a preventive approach, reducing the amount of time patiin pain. The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve pain. The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. Creating autonomy is important, but need is a poorly defined concept. The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. This requires the ability to perform self-care activities in aion, How does the pain affect your sleep? A nurse is assessing a client's cranial nerves. 4) helping clients reduce fear and anxiety Creating autonomy is important, but need is a poorly defined concept. The patient asks the nurse to describe how this pain-relief method works. ATI: Pain Management Posttest Flashcards | Quizlet ATI: Pain Management Posttest 4.9 (22 reviews) Term 1 / 7 A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. 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? During a pain assessment, a nurse asks questions about the quality of an adult clients pain. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. The nurse should include that heat therapy is effective for which of the following conditions? Determine whether the given pairs of triangles are similar or not, and explain how you know. A nurse is caring for a client who has a prescription for heat therapy for knee pain. A) Over time you become more tolerant of the drug. . Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. If the intervention was ineffective, the nurse should consider other measures. B) Pain medication can be increased when the pain becomes intense. You may be worried that your teacher will know that you took an expert's assistance to . A) Intravenous analgesia Which of the following factors should the nurse expect to be similar for both clients? What are you doing when the symptoms occur? Different people feel different degrees of pain from similar stimuli. Disease severity. 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) The nurse should not assume thelerance is associated with The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. Which of the following actions should the nurse take? 7) diagnostic or treatment procedures (injection, intubation, radiation), Factors that affect the pain experience include the following, 1) Age: infants cannot verbalize or understand their pain, older adult clients may have multiple pathologies that cause pain and limit function you best apply? C) You may be developing a mild addiction to the drug. 2) children Feedback: D) Case manager What happens to the profits of boat makers in the short run? A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. 2) cold for inflammation ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. subsequent to this process. The nurse should not assume the patient is exaggerating the pain because the patient is the best authority of his or her existence of pain, and definitions for pain state that pain is whatever the person says it is, existing whenever the experiencing person says it does. Determine the effectiveness of nonpharmacological strategies. A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. A nurse is assessing a clients pain. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. The patient is tearful,ng a 0-to- beyond the expected healing time and that can seldom be attributed to a specific cause or injuPhantom pain occurs when the body experiences a loss, such as an amputation, and still feels painry. (TENS) Over time, the patient is likely to become more tolerant of the dosage. 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. Ati Video Case Study Pain Management Quizlet 1 (888)814-4206 1 (888)499-5521 591 Finished Papers 14 Customer reviews Fast and efficient Paraphrasing Research Paper Research Proposal Scholarship Essay Speech Presentation Statistics Project Term Paper Thesis Thesis Proposal Nursing Management Business and Economics Ethnicity Studies +90 The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. D) Administer an analgesic and then reassess. Modulation occurs in the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli. Medication should begin at a low dose and slowly increase until the pain is managed. B) Long-term intrathecal or epidural catheter 3) Genetic sensitivity, which can increase or decrease pain tolorance 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: In general, adverse effects are minimal. 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. appropriate. functional ability and may have to be readmitted to an acute-care facility. Last year a new car sold for $24,950. It takes less medication to prevent pain than to treat pain. B) The patient is likely frustrated because she has to be in the hospital. Preview text. Chronic pain is constant or intermittent pain that persistste pain Feedback: Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care. (b) What is the deflation rate? Which of the following actions should the nurse take? Which of the following clients should the nurse identify as experiencing neuropathic pain? The nurse is caring for a male patient whose diagnosis of bone cancer is causing severe pain. This patient does not have an adthe familys concerns are secondary to those of the patient. 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. Osteopenic pain is not a recognized category of pain. Ans: B D) Dependence and health Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause A) Medication should be taken when pain levels are low so the pain is easier to reduce. B. No research indicates cancer patients misreport pain because of confusion related to their disease process. 4.9/5. Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. Ans: A, B, D What teaching should the nurse do with this patient? 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 Radiography reveals an ulnar fracture. A nurse is caring for a client who reports muscle pain to the lower back that has persisted for over a year after a motor-vehicle crash. 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, "Your family member has the right to receive effective pain management. ing plan of. ATI PEDIATRIC Proctored Exam (New 2020 / 2021) 1. 2) lack of knowledge Moving into a nursing homeic when a patient is in intractable How long does it last? Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? Feedback: A nurse is caring for two patients of different cultural backgrounds. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. B) Monitor for an increase in absorption of the drug due to age-related changes. ask the following questions: What makes the pain better? 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . 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. 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. analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. 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. The patient asks does it still feel like my leg is attached, and why does it still hurt? However, further education and assessment are appropriate. Check the IV site and PCA pump for proper functioning. Ans: D 4) Cognitive function: clients who are cognitively impaired may not be able to report pain or report it accurately ", A nurse is discussing the use of heat therapy with a newly licensed nurse. However, they are not what the nurse would be most concerned about in terms of ensuring safety. B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone 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. inadequate.Whatteachingshouldthenursedowiththispatient? B) Acute pain management? 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. Mansfield Corporation had 20X1 sales of $100 million. Use of a predetermined overhead rate. Level: College, High School, University, Master's, PHD, Undergraduate. True or false? The initial assessment reveals long-term use of opioids for chronic pain. Ans: C Feedback: a. 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. Compare and contrast India's oil C. "My pain feels like I'm being stabbed by a knife. Which of the following statements by the client refers to pain quality? Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions the patient and caregiver to promote continuity. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. Feedback: Consider each client's cultural preferences. Which of the following statements by the patient refers to pain quality? The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. the, A) Neuroplasticity Feedback: should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? b. D) Your body absorbs less of the drug due to the cancer. his gender is. Cancer pain is not treated with anti-anxiety medications. (Select all that apply. Here are some atomic masses and the neutron mass. Over the years, therdamage, and the patient is in chronic pain. ATI Real Life RN Medical Surgical 3.0 - Kidne, Information Technology Project Management: Providing Measurable Organizational Value, Service Management: Operations, Strategy, and Information Technology, Operations Management: Sustainability and Supply Chain Management. Cancert/family Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. 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 nurse may also verify that the same scale is being used by D) The patient may want to relocate to long-term care in order to have his ADL needs met. 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? A) Self-care and safety Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. for ati pain management flashcards on Quizlet. Ans: B 4) identify the cause of sedation A. What would your priority nursing interventions be for this visit? You are part of the health care team caring for an 87-year-old woman who has been admittedrehabilitation facility after falling and fracturing her left hip. This fact also corresponds to an increased risk of adverse effects. The pain-medication orders are written as a combination of an opioid analgesic and a A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. ), "A client's religious beliefs might affect the way they respond to pain.". This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. A client who has diabetes mellitus and reports bilateral burning foot pain without signs of injury, A nurse is discussing end-of-life pain management with a group of coworkers. D) When the family becomes concerned about increasing dosage Backache o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. accurate, Your patient is 12-hours post ORIF right ankle. 61 Comments Please sign inor registerto post comments. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. How should the nurse best respond to this assessment finding? Which of the following actions should the nurse take after performing a pain assessment? final exam review pharmacology ati flashcards quizlet. ID 4817 Quick Delivery from THREE hours Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. nurse should consider what characteristic of cancer pain? aspects of transmission, perception, or modulation of pain that are listed. Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. Are you currently taking any prescription, herbal, or over-the-counter medications? How does the pain affect your ability to work and do your job? A) When it results in inadequate relief from pain ATI - Comprehensive Physical Assessment of an Adult Pretest. B) Reinforce teaching about the pain scale number system. Which of the following statements by the client indicates an understanding of the instructions?