Here are some atomic masses and the neutron mass. Meditation is one of the recognized mind-body methods of nonpharmacological pain control. inadequate.Whatteachingshouldthenursedowiththispatient? The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve pain. (PCA) pump. A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. Patients do not become imm indicates thatune to the C) Unless there is strong evidence to the contrary, we should take the patients report at face value. The dose range is usually higher with cancer patients. The nurse should describe what pathophysiologic process? * A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. Find the net cost (invoice amount) for the following. Ans: B This new feature enables different reading modes for our document viewer. It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. Which of the following is a pain management protocol that should be used by the nurse in this situation? ), Muscular pain ", A nurse is discussing the FLACC scale with a newly licensed nurse. No research indicates that women and/or younger people need higher doses of morphine to be comfortable. D) The advantages and disadvantages of available pain-relief strategies 47 Care of the patient with a cardiovascu, Chapter 11 Pain Management Prep U 40 questions. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. Chronic pain is constant or intermittent pain that persistste pain A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. 39. n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. ey are not what the, You are caring for a patient with sickle cell disease in her home. What would your priority nursing interventions be for this visit? Which of the following statements by the client indicates an understanding of the instructions? Prior debilitation does not have to be present in order for stress to cause potential harm. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory 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. Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes? "You should write down the pain interventions you use and your pain rating before and after. 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. B) Monitor for an increase in absorption of the drug due to age-related changes. Benny When shall I pay for the service taken up for the draft writing? 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 nurse is planning to teach coworkers about the legal and ethical principles used with pain management. Although tolerance to the drug will increase, addiction is not dose related, (Select all that apply. Hyperexcitable nerve endings in the periphery can become damaged, leading to abnormal reorganization of the nervous system called neuroplasticity, an underlying mechanism of some neuropathic pain states. Frequency of administration will vary widely according to numerous variables. 3) prevent gastric upset by administering the medication with food or antacids ATI Skills Module 3.0 - Pain Management Flashcards | Quizlet ATI Skills Module 3.0 - Pain Management 5.0 (5 reviews) Term 1 / 7 A nurse is preparing to assess the pain level of a 4-year-old child. gabapentin (Neurontin). Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. epidural catheter may be effective. 18. Write an expression for the intensity of the observed light as a function of x, letting. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. Over time, the patient is likely to become more tolerant of the dosage. As a result,e states that The nurse should monitor the client for which of the following adverse effects? $78+$50+$95\$78 + \$50 + \$95 A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. Feedback: 2) cold for inflammation The nursing care of patients who undergo procedures for the relief of chronic pain depends on the typeof procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function A) Placebos require a higher level of informed consent than conventional care. . inadequate. at aspect of. A multimodal regimen combines drugs with different underlying mechanisms, which allows lower doses of each of the drugs in the treatment plan, reducing the potential for each to produce adverse effects. 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. The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. answers are incorrect. Feedback: There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. This requires the ability to perform self-care activities in a safe manner. The client reports taking an opioid prescription for chronic pain. Which of the following should the nurse know in order to use this pain scale? 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? B) Transmission, C) Perception . b. gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers C) You may be developing a mild addiction to the drug. C. This scale is useful for adult patients who have cognitive impairments. A) How the presence of pain affects patients and families about the hospitalization or that she has a psychiatric disorder. The nurse explains neuropathic pain inwhy. The familys insights do not override the patients self-report. 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. Ans: A the nurse should teach the patient which of the following? B) Ask the patient to write down a number according to the 0-to-10 point pain scale. 1. Which of the following pain assessment tools should the nurse use? Which of the following factors should the nurse expect to be similar for both clients? B) Reinforce teaching about the pain scale number system. Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine PCA pump. Menstrual discomfort. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy Disease severity. policy as it applies to: i. Giving the patient alternative methods to control pain is good, but it will not work if the level of 3 to 4 on the same pain scale. What will happen to external fund requirements if Mansfield Corporation reduces the payout ratio, grows at a slower rate, or suffers a decline in its profit margin? Order Now Quantity: Call For Pricing!RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019FORM B.180 Q&A. D) Inhibiting transduction by blocking the formation of prostaglandins in the periphery Which of the following is a pain management protocol that should be used by the nurse in this situation? Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care. Which of the following examples should the nurse include as an example of autonomy? trigeminal neuralgia. The C) Intermittent Test. C(t)={00.034(t226t+48)for0t2for2t24. dependency as opposed to addiction, which is a psychological dependency. the patient and caregiver to promote continuity. Check the IV sit and PCA pump for proper functioning. B. Identifiable units of production. A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. Which of the following statements by the client refers to pain quality? Self-report using standardized pain scales is useful for clients over the age of 7 years. Technical analysis in the form of charting. and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. The client reports taking an opioid prescription for chronic pain. The nurse should document that the client is experiencing which of the following types of pain? 2) eventually, increase in vital signs will stabilize despite the persistence of pain. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. C) Inadequate pain control QSEN competency of safety, what is the nurse most concerned about 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 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. In those situations, neurologic and neurosurgical approaches to pain management may be considered. care for this patient? During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Are you currently taking any prescription, herbal, or over-the-counter medications? The wife of a patient you are caring for asks to speak with you. No research indicates that women and/or people need higher doses of morphine to be comfortable. What is your priority assessment? Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- Determine whether the given pairs of triangles are similar or not, and explain how you know. pain that she rates as 8 on a 0-to-10 point scale. B) The patients blood pressure She states, He was in pain longned 4) identify the cause of sedation about. Fibromyalgia is closely associated with chronic pain. D) Cancer pain is often misreported by patients because of confusion related to their disease process. B) Patients comorbid conditions 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. The nurse is busy and forgets to assess the client's pain and administer prescribed pain medication. Which of the following medications should the nurse ensure is available in case the client develops respiratory depression? A) I didnt know that. 4. The latest version of DSM is considered to be the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Explain. eful to prevent, B) Frequently, female patients and younger patients need higher doses of opioids to be comfortable. 12 Test Bank - Gould's Ch. "I will keep the morphine bottle in a locked cabinet in my kitchen. Feedback: B) When dealing with withdrawal symptoms resulting from the tolerance You are frequently assessing an 84-year-old womans pain after she suffered a humeral When applying the nursing process in pain management for a patient of this age, what principle shouldfracture in a fall. A nurse is assessing a client's cranial nerves. b. production and consumption in 2000and in 2010. The nurse should monitor the client for which of the following adverse effcets? a. 2) carefully titrate doses while closely monitoring respiratory status Feedback: Which of the following actions should the nurse take? so others may care for him is an intervention that does not address the issue of pain. 4) Antihistamine: hydroxyzine (Visaril) The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. Which of the following statements by a staff member indicates an understanding of the information? At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. Social support between acute, A patient is experiencing severe pain after suffering an electrical burn in a workplanurse is applying knowledge of the pathophysiology of pain when planning this patients nursing care accident. 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 The patient has developed a tolerance to her usual paine has been joint The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. management. 2) moaning, crying 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. The patient will be at home monitoring his own pain management, administering his own medication, and monitoring and reporting side effects. 28. It takes less medication to prevent pain than to treat pain. Ans: C The patient is tearful,ng a 0-to- The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. Skin breakdown and hallucinations are much less likely. Pain associated with cancer may be acute or chronic. Ice helps decrease swelling and 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. Chronic pain istreatable. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud). Feedback: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. The nurse suspects: facet syndrome. (Select all that apply. market environment. 2) requires an ability to concentrate, Nonpharmacological Pain Management: Acupuncture, vibration or electrical stimulation via tiny needles inserted into the skin and subcutaneous tissues at specific points, 1) Reduction of pain stimuli in the environment However, this is not true for many people. Which of the following statements by the patient refers to pain quality? l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. A) Assessment for decreased level of consciousness (LOC) Acute pain is usually of recent onset and commonly associated with a specific injury. Offer to assist the client with nonpharmacological relief strategies. What happens to the number of boat makers in the long run? NSAIDs do not act directly on the aspects of transmission, perception, or modulation of pain that are listed. A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hr as needed for pain rating 7 to 10 on a 0 to 10 scale. 20. Better pain control can be achieved with a preventive approach, reducing the amount of time patiin pain. 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. B) The patient is likely frustrated because she has to be in the hospital. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. View All Products Facebook Question of the Week The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. The nurse may also verify that the same scale is being used by the patient and caregiver to promote continuity. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. D) The patient will likely benefit more from distraction than pharmacologic interventions. Feedback: Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . Low levels of pain are easier to reduce or control than intense levels of pain. ing plan of. C) Use the Visual Analog Scale (VAS). E) Prior effectiveness in relieving the pain Use this information to find the patient's cardiac output. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. A) When it results in inadequate relief from pain B) You may have become immune to the effects of the drug. 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 Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. The elderly often require lower doses of medication and are easily confused with new medications. neurosurgical approaches to pain management may be considered. pain. A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. 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 (TENS) 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants A nurse is assessing a clients pain. Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? Which of the following actions should the nurse take? 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. 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. (Select all that apply. ", A nurse is assisting with a staff in-service regarding pain control. 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. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. 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 Which of the following actions should the nurse plan to take to evaluate the clients' pain control? 1) Anticonvulsants: carbamazepine (Tegretol) Does it radiate anywhere else?" 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? Chronic pain and acute pain are not mutually exclusive. The patient asks the nurse to describe how this pain-relief method works. Belief that pain is an expected part of their illness Neuroplasticity is the ability of the peripheral and central nervous systems to change both structure and function as a result of noxious stimuli; this does not likely contribute to the patients pain. D) Provide medication as per patient request and offer relaxation techniques to promote comfort. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) Backache Smaller drug doses of medication are neededgular 2) Fatigue, which can increase sensitivity to pain Which of the following statements should the nurse make to the client's family? Different people feel different degrees of pain from similar stimuli. definitive guide to defining psychological disorders. 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, C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. Ans: D 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. pain can be either acute or chronic, and you do not tell a family member that you are going to keepincreasing the dosage of the medication until it doesnt hurt anymore. Feedback: A nurse is caring for two client who are 2 hr postoperative following the same procedure. Feedback: 3) explaining misconceptions about pain ATI has the product solution to help you become a successful nurse. View All Products Facebook Question of the Week A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain Older adults are not immune to the negative effects of stress. The other listed means of pain control would alreain a patient with persistent severe pain that has not responded to previous treatment. During a pain assessment, a nurse asks questions about the quality of an adult clients pain. both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. Distorting the action potential that is transmitted along the A-delta (d) and C fibers. Feedback: B) Chronic illness The pain-medication orders are written as a combination of an opioid analgesic and a Feedback: The client reports unbearable pain after attempting six demand doses within the last hour. HOW? C) Type of procedure be performed A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Which of the following pain management protocols should the nurse use when caring for this client? hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. Is that required condition violated? Although all answers are correct, the most accurate conclusion would be to reinforce teaching about the pain scale. E) The difference between acute and intermittent pain Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards Feedback: Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. Which of the following responses should the nurse take? ), Stress C) The patients allergy status The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. 2) lack of knowledge I will speak to the doctor about your husbands pain control. 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). 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 you best apply? Test with =.05\alpha=.05=.05. Inadequate pain assessment. This regimemotivated by the need to prevent respiratory depression or to eliminate nighttime dosing. The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. 4) arthritis Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. Compare and contrast India's oil 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. Ans: C 3) Tricyclic antidepressants: amitriptyline (Elavil) 3. Which of the following provider prescriptions for initial pain relief should the nurse question? self-care and safety are the priorities. . 5. However, further education and assessment are appropriate. pain management? 12 Test Bank, Marketing Reading-Framework for Marketing Strategy Formation, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory. Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. 3) fear of addiction Discuss each of these separately. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, The VAS requires English language skills, even though it is visual. Offering spiritual as Which of the following methods should the nurse include? C) Health promotion and exercise the mother is afraid that her daughter will overdose. Ans: A A) Chronic Which of the following statements by the patient refers to pain quality?