ati pain management quizlet

B) Assessment for respiratory depression A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. Neuroplasticity is the ability of the peripheral and central nervous systalgesic agents forems to change C. This scale is useful for adult patients who have cognitive impairments. Feedback: B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. Meditation is one of the recognized mind-body methods of nonpharmacological pain control. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. 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) Remind the patient that he is indeed experiencing pain. The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. Which of the following statements by the patient refers to pain quality? The. patientisinsomuchpainthathecannotinstitutereliablealternativemethods. 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. Action should be taken unless there are demonstrable extenuating circumstances. care for this patient? After assessing the client's pain, which of the following actions should the nurse take? Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. t the patients, As always, the best guide to pain management and administration of analgesic agents in allregardless of age, is what the individual patient says. Last year a new car sold for $24,950. Social support ATI RN Capstone Proctored Comprehensive Assessment 2019 B ATI 2019 $ 11.00 Add to cart ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM . Technical analysis in the form of charting. 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. 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 Wellness & Self-Care. The Which of the following manifestations is an objective indicator of pain? However, thnurse would be most concerned about in terms of ensuring safety. Self-report using standardized pain scales is useful for clients over the age of 7 years. eful to prevent, B) Frequently, female patients and younger patients need higher doses of opioids to be comfortable. Giving the patient alternative methods to control pain is good, but it will not work if the patient is in so much pain that he cannot institute reliable alternative methods. Prior debilitation does not have to be present in order for stress to cause potential harm. used to prevent pain so pain medication is not increased when pain becomes intense. Which of the following statements should the nurse make? A nurse is caring for two patients of different cultural backgrounds. The patients comorbid conditions will also affect care, but his gender is not a key consideration. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. The nurse should monitor the client for which of the following adverse effects? y associated with, You are caring for a patient admitted to the medical-surgical unit after fallistates I hurt so bad. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. b. effects of the drug, and the body does not absorb less of the drug because of the cancer. The other options are all good answers for this patient because of the patients age and disease process. A. before he got cancer because he broke his back about 20 years ago. What happens to the profits of boat makers in the short run? Ans: B, C, D, E The nurse who is a member of the palliative care team is assessing a patient. The patient is asking for a breakthrough dose ofanalgesia. Culture 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. View All Products Facebook Question of the Week Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. Paradoxical effects are not a common phenomenon. Which of the following provider prescriptions for initial pain relief should the nurse question? A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. D) Administer an analgesic and then reassess. what variables should the nurse consider? 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 Ans: B Ans: B Menstrual discomfort. ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" ), Muscular pain C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. A) When it results in inadequate relief from pain The nurse is accepting care of an adult patient who has been experiencing severe and intracWhen reviewing the patients medication administration record, the nurse notes the presence oftable pain. 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 Although all answers are correct, the most accurate conclusion would be to reinforce teaching about the pain scale. Ans: D analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. Ans: A A nurse is assessing a client's cranial nerves. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions The nurse is assessing a patients pain while the patient awaits a cholecystecthesitant to move, and grimacing. (Select all that apply. "I will keep the morphine bottle in a locked cabinet in my kitchen. A) Self-care and safety D) Dependence and health 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery 1) Anticonvulsants: carbamazepine (Tegretol) ing plan of. Pain tolerance is the amount of pain a person is willing to bear. What is the nurses best response? B) We need to provide pain medications because it is the law, and we must always follow the law. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. 12 Test Bank, Marketing Reading-Framework for Marketing Strategy Formation, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. Which of the following tasks should the nursedelegate to an assistive personnel?a. Which of the following should the nurse know in order to use this pain scale? Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adeqcontrol. Acute pain is usually of recent onset and commonly associated with a specific injury. The patient is physically exhibiting signs and symptoms of pain. (Select all that apply. Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. A) Depression D) The patient may want to relocate to long-term care in order to have his ADL needs met. What would be the nurses best response? Which of the following should the nurse know in order to use this pain scale? Which of the following should the charge nurse include? The patient The nurse is busy and forgets to assess the client's pain and administer prescribed pain medication. 4) Antihistamine: hydroxyzine (Visaril) 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. Better pain control can be achieved with a preventive approach, reducing the amount of time patiin pain. As a result,e states that NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. Check the IV sit and PCA pump for proper functioning. The other answers are incorrect. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. answers for this patient because of the patients age and disease process. 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, D) Modulation Class of medication used to treat acute postoperative pain. It takes less medication to prevent pain than to treat pain. 4) Cognitive function: clients who are cognitively impaired may not be able to report pain or report it accurately 3) older adults A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Which of the following questions should the nurse ask to evaluate the letter "R"? Which of the following statements by the patient refers to pain quality? 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 missing part. E) Prior effectiveness in relieving the pain Determine the effectiveness of nonpharmacological strategies. Regardless of how patients cope with chronic pain, pain that lasts for an extended period can redepression, anger, or emotional withdrawal. management. Here are some atomic masses and the neutron mass. Of the listed options, a language comparison chart is most plausible. (a) What can be said about the inflation rate when the current price is less than the original price? Older adults are not immune to the negative effects of stress. Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? 2) cold for inflammation Analyze this decision in light of the perceptual matters relating to branding. D) Neuropathy, Ans: D Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. (Select all that apply. Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. policy as it applies to: i. $$. answers are incorrect. Dr. Rebecca Hawkins, PHD - Reviews - Denver, CO This 25-item . Offering themedication is more beneficial than letting the patient know ibuprofen is available. The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. Feedback: A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. management. Ans: C 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. Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. 3) Consistent timing and dosing of opioid administration provide consistent pain control 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) Use a chart with English on one side of the page and the patients native language on the other so hecan rate his pain. How does the pain affect your sleep? Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. Creating autonomy is important, but need is a poorly defined concept. Ans: B 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. Over time, the patient is likely to become more tolerant of the dosage. 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. Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) If the intervention was ineffective, the nurse should consider other measures. C. "My pain feels like I'm being stabbed by a knife. Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is Different people feel different degrees of pain from similar stimuli. Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. Ans: B strength and severity are "measures" of the pain. 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. Ans: C A nurse is assessing a clients pain. "My pain feels like I'm being stabbed by a knife.". B) Chronic illness Which of the following actions should the nurse take after performing a pain assessment? Feedback: Briefly discuss the implications of the efficient market hypothesis for investment 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. Oxygen saturation. True or false? Little evidencepatients with cancer become addicted to the opioid medications. ATI Leadership Management Proctored Exam (CHECK THE LAST PAGE FOR DETAIL SOLUTION) 5. negative airflow pressure (6-12 exchanges/hr) surgical mask when transporting. Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- You may be worried that your teacher will know that you took an expert's assistance to . 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. Test with =.05\alpha=.05=.05. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes. What is the nurses most plausible rationale for underspatients different perceptions of pain? How often does it occur? A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine PCA pump. (pq)(pq)(p\rightarrow \neg q)\land(p\land q) Offering the medication is more beneficial than letting the patient know ibuprofen is available. 12 Test Bank - Gould's Ch. 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 Many small boats are made of fiberglass, which is derived from crude oil. Ati-Pain Flashcards | Quizlet Ati-Pain 5.0 (1 review) Term 1 / 27 A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. The client reports taking an opioid prescription for chronic pain. 5) use a sedation scale in addition to a pain rating scale to assess pain, especially when administering opioids, Pharm made easy 4.0: Introduction to Pharmaco, ATI Fundamentals - Chapter 41 - Pain manageme, critical thinking cards for ATI Proctored exam, ATI Ch 43 Principles of Antimicrobial Therapy, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Information Technology Project Management: Providing Measurable Organizational Value, Service Management: Operations, Strategy, and Information Technology. taking care of the patient. One way preventive pain measures can be implemented is by using PRN medications on a more reor scheduled basis to allow for more uniform pain control. b) An employer might be liable for the actions of its employee outside the scope of employment if the employer was negligent or reckless in allowing it to occur, or for other reasons. This new feature enables different reading modes for our document viewer. View All Products Facebook Question of the Week Which of the following factors should the nurse expect to be similar for both clients? A) Intravenous analgesia A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. The unit cost of normal spoilage is the same as the unit cost of abnormal spoilage. Do you agree? A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. Feedback: Medication should begin at a low dose and slowly increase until the pain is managed. A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. * A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. final exam review pharmacology ati flashcards quizlet. Acute pain is usually of recent onset and commonly associated with a specific injury. pain management? Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, Chronic pain and acute pain are not mutually exclusive. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. 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 Distorting the action potential that is transmitted along the A-delta (d) and C fibers. 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. Teaching the family the theory of pain management or the use of alternative therapies and It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. about. Click the card to flip Definition 1 / 7 A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? 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 C) Unless there is strong evidence to the contrary, we should take the patients report at face value. A nurse is about to use the Wong-Baker FACES pain level. Radiography reveals an ulnar fracture. The more experience a person has had with pain, the more frightened he or she may be about subsequent painful events. Class of medication used to treat acute postoperative pain. Ans: A She states, He was in pain longned Electrolyte values, blood pressure, and hydration status are should assess for any not what you The patient will be at home monitoring his own pain management, administering his own medication, and monitoring and reporting side effects. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy The three classes of analgesics are nonopioids, opioids, and adjuvants, Pharmacological Interventions: Nonopioid analgesics (acetaminophen, nonsteroidal anti-inflammatory drugs [NSAIDs], including salicylates) are appropriate for treating mild to moderate pain, 1) be aware of hepatotoxic effects of acetaminphen Ans: D What is your priority assessment? Cancer pain is not treated with anti-anxiety medications. B) Reinforce teaching about the pain scale number system. The patient is physically exhibiting signs and symptoms of pain. Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife Seventy-two percent of American adults have read a book within the past year. B) Acute ), "You can be taught how to use TENS therapy at home. 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 Smaller drug doses of medication are neededgular D) Placebos require the active participation of the patients family. Feedback: Weight Mass Student - Answers for gizmo wieght and mass description. When creating a nursing care plan for this patient,tted for the A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. A) To prevent respiratory depression from the opioid Ans: C (ibuprofen) ordered every 6 hours. The family member is obviously appropriate. 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. The nurse who is a member of the palliative care team is assessing a patient. 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 Construct a truth table for the proposition and determine whether the proposition is a contingency, tautology, or contradiction. The family would alson of the What principle should guide the nurses use of placebusing placebos in theos in 2) children in the The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. A) Transduction (pq)(pq). Nowhere in the scenario does it indicate the patient is upsetsult in definitive guide to defining psychological disorders. A nurse is caring for a client who has a prescription for heat therapy for knee pain. This patientght of the 6) neuropathy NSAIDs do not act directly on the aspects of transmission, perception, or modulation of pain that are listed. This scale is useful for adult patients who have cognitive impairments. Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. The oral route is better for chronic, nonfluctuating pain 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. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. This method also reduces, but does not eliminate, adverse effects of the opioid. You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. 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? Help students master more than 180 essential nursing skills from the convenience of an online skills lab. D) Inhibiting transduction by blocking the formation of prostaglandins in the periphery Feedback: ATI Funds EXAM 200 Questions PSY215 1-2 assignment EDUC 327 The Teacher and The School Curriculum Document The cell Anatomy and division. A physician injects 5mg5 \mathrm{mg}5mg of dye into a vein near the heart of a patient and by monitoring the concentration of dye in the blood over a 24-second period, determines that the concentration of dye leaving the heart after ttt seconds ( 0t24)0 \leq t \leq 24)0t24) is given by the function, C(t)={0for0t20.034(t226t+48)for2t24C(t)=\left\{\begin{array}{cl}0 & \text { for } 0 \leq t \leq 2 \\ -0.034\left(t^2-26 t+48\right) & \text { for } 2 \leq t \leq 24\end{array}\right. Fibromyalgia is closely associated with chronic pain. What is the worst/best the pain has been? Opioid tochronic pain treatment and would not likely apply to these patients. C) Placebos are never recommended in the treatment of pain. 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 The patient appears to be failing to regain to your The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? $78+$50+$95\$78 + \$50 + \$95 Similarly, psychosomatic factors and misperception of pain are highly unlikely. D) Its not unusual for patients to misreport pain to get our attention when we are busy. 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 .

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