The nurse is caring for a male patient whose diagnosis of bone cancer is causing severe pain. The client's family asks the nurse about managing the client's pain. A nurse is evaluating a group of clients who are experiencing pain. market environment. The client reports taking an opioid prescription for chronic pain. Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. A nurse is assessing a clients pain. B) Ask the patient to write down a number according to the 0-to-10 point pain scale. 4) Cognitive function: clients who are cognitively impaired may not be able to report pain or report it accurately Which of the following should the nurse know in order to use this pain scale? QSEN competency of safety, what is the nurse most concerned about with this patient? 4. 7) Support systems that are present and can decrease sensitivity to pain answers are incorrect. The nurse se are ineffective,rves as the Which of the following categories should the nurse include? 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. B) Patients comorbid conditions C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. Osteopenic pain is not a recognized category of pain. Patients requiring opioids for chronic pain, especially cancer patients, need increasing doses to relieve pain. 2) children A) When it results in inadequate relief from pain Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. Feedback: 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. Feedback: Offering spiritual guidance would not be a priority at this point and morphine is not the only medication administered by PCA. The nurse If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. Have the client rate their pain using a standard scale. Culture e the, D) Does the increasing medication dosage concern you? If the intervention was ineffective, the nurse should consider other measures. The nurse should monitor the client for which of the following adverse effcets? The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. Feedback: 4) helping clients reduce fear and anxiety a. Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is 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 B) Acute A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. Suppose that the price of oil rises. Explain. Determine the effectiveness of nonpharmacological strategies. The patient has developed a tolerance to her usual paine has been joint A) Assessment for decreased level of consciousness (LOC) The balance sheet items that vary directly with sales and the profit margin are as follows: The dividend payout rate is 50 percent of earnings, and the balance in retained earnings at the end of 20X1 was$33 million. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. C) Health promotion and exercise Further teaching may need to be doneso the patient can correctly rate the pain. "Justice allows the client the opportunity to be treated fairly.". Round to the nearest cent. E) Prior effectiveness in relieving the pain (a) What can be said about the inflation rate when the current price is less than the original price? 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. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC is problematic. Which of the following pain management protocols should the nurse use when caring for this client? When asked, the patient rates his pain as a 2 at this time usiomy. (Select all that apply. Which of the following should the nurse include as barriers to end-of life pain management? 3) prevent gastric upset by administering the medication with food or antacids What is the nurses best response? Ice helps decrease swelling and pain. 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. Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards neurosurgical approaches to pain management may be considered. Many small boats are made of fiberglass, which is derived from crude oil. the, A) Neuroplasticity Which of the following actions should the nurse plan to take? 14. D) Osteopenic analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. Radiography reveals an ulnar fracture. A nurse is caring for a group of clients on the pediatric unit. (Select all that apply. Although all answers are correct, the mostconclusion would be to reinforce teaching about the pain scale. 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 View All Products Facebook Question of the Week D) Provide family teaching regarding use of morphine, recognizing morphine overdose, and offeringspiritual guidance. familys insights do not override the patients self-report. Moving into a nursing homeic when a patient is in intractable 5) to prevent inadvertent overdosing, the client is the only person who should push the PCA button. 6) neuropathy Ans: A Give more than two choices. Therefore, physiologic indicators may not be an accurate measure of pain over time, Nonpharmacological Pain Management: Cutaneous (skin) stimulation - transcutaneous electrical nerve stimulation (TENS), heat, cold, therapeutic touch, and massage, 1) interruption of pain pathways 12 Test Bank - Gould's Ch. Benny When shall I pay for the service taken up for the draft writing? Which of the following actions should the nurse take after performing a pain assessment? 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D) Dependence and health The patient will be at home monitoring his own pain management, administering his own medication, and monitoring and reporting side effects. gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers The nurse should reply that biofeedback involves: Measuring skin tension and using learned techniques to relieve pain, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Service Management: Operations, Strategy, and Information Technology, Information Technology Project Management: Providing Measurable Organizational Value, NUR379 Evolve: Pediatric Hematology Disorders. 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. Technical analysis in the form of charting. "I will keep the morphine bottle in a locked cabinet in my kitchen. (b) What is the deflation rate? Which of the following pain management protocols should the nurse use when caring for this client? ", A nurse is discussing the FLACC scale with a newly licensed nurse. its three formsweak, semistrong, and strongand briefly discuss the degree to There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. NSAIDs do not act directly on the aspects of transmission, perception, or modulation of pain that are listed. Have an opioid antagonist available during the administration. The family member is obviously concerned. pain that she rates as 8 on a 0-to-10 point scale. Acuindicates that damage or injury has occurred. The family members will bevering a ", A nurse is discussing cutaneous stimulation with a client who has back pain. Evaluate the client for pain by observing their behavior. B. Identifiable units of production. 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. However, thnurse would be most concerned about in terms of ensuring safety. patients. C) Psychosomatic processes 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 ? Ans: B Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. All the jeopardy - 89 cards; Allergic Response in the OR - 43 cards; CCTC NUR 101 Chap 35 Nursing Fundamentals Pain - 41 cards; CCTN exam review - 24 cards; CDC Final II Gout - 16 cards; CDC Final II Low Back Pain . . Conveying patienconcerns to the physician is something a nurse does, but is not the best response by the nurse. Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. 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 A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. ), Muscular pain 28. Similarly, psychosomatic factors and misperception of pain are highly unlikely. How long does it last? The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. The 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. patient is in so much pain that he cannot institute reliable alternative methods. ing plan of. Which of the following factors should the nurse expect to be similar for both clients? B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone 5. Notes payable are currently $7 million. However, further education and assessment are appropriate. Nurses should understand the effects of chronic pain on patients and families and should be knowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain management. which existing empirical evidence supports each of the three forms of the The familys insights do not override the patients self-report. The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. 5) fibromyalgia 3) cancer (tumor invasion, nerve compression, bone metastases, associated infections, immobility) The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. terms that are accessible to the patient. 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. What is the worst/best the pain has been? A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" When addressing the patients pain in her plan of nursing carat has e, the Ans: A (Select all that apply. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. This patientght of the "Can you point to where you are having your pain?". Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? 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. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. Document associated symptoms (fatigue, depression, nausea, anxiety), ask "What other symptoms do you hae when you are feeling pain?". "On a scale from 0-10, how do you rate your pain?". C) Intermittent Prior debilitation does not have to be present in order for stress to cause potential harm. 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. For patients who have persistent, severe pain that fails to respond to other treatments or who obtain pain relief only with the risk of serious side effects, medication administered by a long-term intrathecal or epidural catheter may be effective. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. ATI has the product solution to help you become a successful nurse. Ans: B, C, D, E D) The patients hydration status Acute pain is usually of recent onset and commonly associated with a specific injury. Select all that apply. Which of the following actions should the nurse take? Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. C) Monitor for a paradoxical increase in pain with opioid administration. 2) Fatigue, which can increase sensitivity to pain Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. Using the nursing process, on which concepts should the nurse focus the patient teaching? B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. ATI questions 231 1-3 Discussion- Population, Samples, and Bias Intro SA PAG Aaral NG WIKA (Ang Pagtatamo at Pagkatuto ng Wika) Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE Biomolecules E) The difference between acute and intermittent pain The nurse may also verify that the same scale is being used by the patient and caregiver to promote continuity. ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. (review sheet 4) Week 1 A&P Lab with all answers provided Module 5 Family as Client Public Health Clinic-1 Rsch 201 db 2 - Grade: A The Deep Dive Answers - jdjbcBS JSb vjbszbv both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. Opioid tochronic pain treatment and would not likely apply to these patients. a) An employer can never be liable for the actions of its employee outside the scope of employment. $78+$50+$95\$78 + \$50 + \$95 Ans: A What is the primary ratiadministering pain medication in this manner? 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. A B. EMH. A nurse is evaluating a client's pain level using the PQRST mnemonic. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. A nurse is providing end-of-life care for a client who is unresponsive and near death. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife Both patients returned from the same type of surgery 2 hours ago. The nurse who is a member of the palliative care team is assessing a patient. (Select all that apply. Comparing radial . 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. A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. Briefly discuss the implications of the efficient market hypothesis for investment ATI: Pain Management Flashcards | Quizlet ATI: Pain Management 4.9 (12 reviews) Term 1 / 7 During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. (ibuprofen) ordered every 6 hours. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. ATI RN Capstone Proctored Comprehensive Assessment 2019 B ATI 2019 $ 11.00 Add to cart ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM . 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 nurse should not assume thelerance is associated with A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy.
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