D) The patients hydration status 12 Test Bank, Marketing Reading-Framework for Marketing Strategy Formation, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. The. The client reports unbearable pain after attempting six demand doses within the last hour. 2) moaning, crying One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. 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. Analyze this decision in light of the perceptual matters relating to branding. A) Remind the patient that he is indeed experiencing pain. The patient A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. Cross), Give Me Liberty! A) Intravenous analgesia Preview text. Have an opioid antagonist available during the administration. Which of the following actions should the nurse plan to take? The wife of a patient you are caring for asks to speak with you. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. Ans: A C) The patients allergy status Both patients returned from the same type of surgery 2 hours ago. The dose range is usually higher with cancer patients. Prior debilitation does not have to be present in order for stress to cause potential harm. management. When addressing the patients pain in her plan of nursing carat has e, the Which of the following can the nurse be charged with? A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. 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 hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) However, this is not true for many people. Acute pain is usually of recent onset and commonly associated with a specific injury. Opioid tolerance is associated with chronic pain treatment and would not likely apply to these patients. The How long does it last? 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. A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Indications -pts report of pain -nonverbal cues-crying, groaning, restlessness, combativeness, striking out, refusing care, and facial expressions of fear -guarding of painful area -increased HR, BP, respirations Outcomes/Evaluation Pt will have decreased pain or be pain free Potential Complications -allergic reaction to treatment -abuse of pain Skin breakdown and hallucinations are much less likely. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. Briefly explain the concept of the efficient market hypothesis (EMH) and each of safe manner. 4. In which way should the nurse categorize this client's pain? Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . What is the binding energy per nucleon of the europium isotope B. Identifiable units of production. It affects only those patients who are already debilitated prior to experiencing pain. Ans: D Which of the following statements by a staff member indicates an understanding of the information? with the preventive pain method when PRN medications are given around the clock. Pain resulting from cancer is so ubiquitous that when cancer patients are asked about possible outcomes, pain is reported to be the most feared outcome. At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. B) Acute 18. What makes the pain worse? (Select all that apply. 2) The parenteral route is best for immediate, short-term relief of acute pain. tanding the Action should be taken unless there are demonstrable extenuating circumstances. Which of the following statements should the nurse make? 22. 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. The latest version of DSM is considered to be the 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. B) We need to provide pain medications because it is the law, and we must always follow the law. D) Your body absorbs less of the drug due to the cancer. A) Endorphin levels may vary between patients, affecting the perception of pain. b. This patientght of the C) Psychosomatic processes Anxiety is also plausible, but depression is a paramount risk. The nurse should document that the client is experiencing which of the following types of pain? the, A) Neuroplasticity Level: College, High School, University, Master's, PHD, Undergraduate. epidural catheter may be effective. a. Ans: A Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory Feedback: Which of the following characteristics applies to process costing but not to job order cost accounting? effects of the drug, and the body does not absorb less of the drug because of the cancer. The more experience a person has had with pain, the more frightened he or she may be about subsequent painful events. ask the following questions: What makes the pain better? The nurse is justified in suspecting what phenomenon in the etiology of thepatients pain. (pq)(pq)(p\rightarrow \neg q)\land(p\land q) 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery Health promotion is an important global concept for maintaining health, and exercise is an appropriate activity; however, self-care and safety are the priorities. 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. $$. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Which of the following actions should the nurse take? patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. The dose range is usuallyhigher with cancer patients. Which of the following examples should the nurse include as an example of autonomy? (TENS) ), Transcutaneous electronic stimulating unit (TENS unit). accurate, Your patient is 12-hours post ORIF right ankle. A nurse is preparing to assess the pain level of a 4-year-old child. 1035 Natoma Street, San Francisco. C) The influence of the patients cognition on her pain A nurse is about to use the Wong-Baker FACES pain level. The unit cost of normal spoilage is the same as the unit cost of abnormal spoilage. Do you agree? D) The patient will likely benefit more from distraction than pharmacologic interventions. 6) neuropathy This new feature enables different reading modes for our document viewer. Older people may respond differently to pain than younger people. A nurse is caring for a client who has a prescription for heat therapy for knee pain. Electrolyte values, blood pressure, and hydration status are should assess for any not what you (Select all that apply. D) Changes in neurologic function due to the procedure Feedback: (Select all that apply. familys insights do not override the patients self-report. Please ask her about pain again inminutes. A nurse is caring for a group of clients on the pediatric unit. Chronic pain istreatable. 3) fear of addiction Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. 32. 4) this pain typically responds to adjuvant medications (antidepressants, antispasmodic agents, skeletal muscle relaxants), Risk factors for undertreatment of pain include the following, 1) cultural and societal attitudes The 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. A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse. Feedback: Acute pain indicates that damage or injury has occurred. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. B) Reinforce teaching about the pain scale number system. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. 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 D) Drug interactions so others may care for him is an intervention that does not address the issue of pain. B) Resources that can assist the patient with pain management A nurse is providing end-of-life care for a client who is unresponsive and near death. NSAIDs do not act directly on thehery; this A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. The oral route is better for chronic, nonfluctuating 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. Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . What treatment would you expect might be tried with this patient? You may be worried that your teacher will know that you took an expert's assistance to . Which of the following actions should the nurse take after performing a pain assessment? Which of the following factors should the nurse expect to be similar for both clients? Feedback: What are you doing when the symptoms occur? analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. patients care, what variables should you consider? Here are some atomic masses and the neutron mass. Acute pain chronic pain Nociceptive pain: somatic, visceral, and cutaneous Neuropathic pain Risk factors: undertreatment of pain, populations at risk, causes of pain, factors that affect pain experience Pain threshold Pain tolerance Focused pain assessment: OLDCARTS to determine location, quality, intensity, timing, setting, associated With the knowledge delivered from 30 newly formatted modules each featuring tutorials, step-by-step demonstration videos, checklists, quick references, animations, pre- and post-tests, challenge cases, remediation, and more students will enter the on-site skills . Which of the following medications should the nurse ensure is available in case the client develops respiratory depression? Similarly, psychosomatic factors and misperception of pain are highly unlikely. $$ 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. Overdose is not an inevitable risk. Each samples productivity data are required to be normally distributed. A) Use a chart with English on one side of the page and the patients native language on the other so hecan rate his pain. Radiography reveals an ulnar fracture. Creating autonomy is important, but need is a poorly defined concept. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. This scale is useful for adult patients who have cognitive impairments. 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. The scenario does not indicate the present pain-management orders are not working for this patient. you best apply? Feedback: The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. refers to how the pain feels: sharp, dull, aching, burning, stabbing, pounding, throbbing, shooting, gnawing, tender, heavy, tight, tiring, exhausting, sickening, terrifying, torturing, nagging, annoying, intense, or unbearable. This method also reduces, but does not eliminate, adverse effects of the opioid. C) Type of procedure be performed However, they are not what the nurse would be most concerned about in terms of ensuring safety. Round to the nearest cent. (Select all that apply. Culture Is that required condition violated? B) The patient is likely frustrated because she has to be in the hospital. 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. Opioid tochronic pain treatment and would not likely apply to these patients. Determining a client's response to a diureticc. B) Ask the patient to write down a number according to the 0-to-10 point pain scale. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. 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. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. The patient appears to be failing to regain to your 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. However, further education and assessment are appropriate. . Different people feel different degrees of pain from similar stimuli. B) One of the patients is exaggerating his or her sense of pain. Help students master more than 180 essential nursing skills from the convenience of an online skills lab. E) Prior effectiveness in relieving the pain Feedback: The other answers are incorrect. A) Teach the family the theory of pain management and the use of alternative therapies. RN ATI capstone proctored comprehensive assessment 2019 B . The familys insights do not override the patients self-report. What is the primary ratiadministering pain medication in this manner? A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. Which of the following should the charge nurse include? Neuroplasticity is the ability of the peripheral and central nervous systalgesic agents forems to change a) An employer can never be liable for the actions of its employee outside the scope of employment. A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. patients. A) How the presence of pain affects patients and families 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. No research indicates cancer patients misreport pain because of confusion related to their disease process. The other listed means of pain control would already have been tried in a patient with persistent severe pain that has not responded to previous treatment. Distorting the action potential that is transmitted along the A-delta (d) and C fibers. Ask the client to point to the location. Ans: C 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. C) Monitor for a paradoxical increase in pain with opioid administration. The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. Transmission, perception, and modulation aren or burn, (ibuprofen) ordered every 6 hours. Discuss each of these separately. C) The patient may want to increase his exercise and activities significantly to create distractions. How does the pain affect your ability to work and do your job? Which of the following responses should the nurse take? 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. Which of the following actions should the nurse plan to take to evaluate the clients' pain control? ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. A nurse is caring for a client who has kidney stones. myofascial pain syndrome. 8. ", A nurse is discussing the use of heat therapy with a newly licensed nurse. ATI RN Capstone Proctored Comprehensive Assessment 2019 B ATI 2019 $ 11.00 Add to cart ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM . eful to prevent, B) Frequently, female patients and younger patients need higher doses of opioids to be comfortable. Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. D) Use the services of a translator each time you assess the patient so you can documenpain rating. Click the card to flip Definition 1 / 7 The nurse should apply heat therapy to the client's knee for how long? 5) creating a treatment plan that includes both nonpharmacological and pharmacological pain-relieving measures. The initial assessment reveals long-term use of opioids for chronic pain. In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. used to prevent pain so pain medication is not increased when pain becomes intense. This fact also Medication should begin at a low dose and slowly increase until the pain is managed. about the hospitalization or that she has a psychiatric disorder. Which of the following statements by the patient refers to pain quality? Feedback: Ans: D C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. A nurse is evaluating a group of clients who are experiencing pain. The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve pain. In those situations, neurologic ancologic andd The VAS requires English language skills, even though it is visual. A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. Which of the following pain assessment tools should the nurse use?

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