How should the nurse best respond to this assessment finding? In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. Which of the following statements by the patient refers to pain quality? 12 Test Bank - Gould's Ch. The patient Opioid tochronic pain treatment and would not likely apply to these patients. My pain feels like I'm being stabbed by a knife. Feedback: Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause Document associated symptoms (fatigue, depression, nausea, anxiety), ask "What other symptoms do you hae when you are feeling pain?". 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. The nurse should apply heat therapy to the client's knee for how long? ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. 6. the patient and caregiver to promote continuity. Check the IV site and PCA pump for proper functioning. The client reports taking an opioid prescription for chronic pain. Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. before he got cancer because he broke his back about 20 years ago. A) Over time you become more tolerant of the drug. management. C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. You are part of the health care team caring for an 87-year-old woman who has been admittedrehabilitation facility after falling and fracturing her left hip. A nurse provides a client with the opportunity to take an intramuscular injection or oral medication for pain relief. 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) Over time, the patient is likely to become more tolerant of the dosage. Discuss each of these separately. You cannot usually treat pain the patient denies having if the orders are PRN onlyscenario does not indicate the present pain-management orders are not working for this patient. Feedback: 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. The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. patient is in so much pain that he cannot institute reliable alternative methods. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Which of the following actions should the nurse take after performing a pain assessment? View All Products Page Link Facebook Question of the Week. A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. nurse should consider what characteristic of cancer pain? Feedback: A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. The other listed means of pain control would alreain a patient with persistent severe pain that has not responded to previous treatment. 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. The patient has developed a tolerance to her usual paine has been joint Capnography D) Case manager The family member is obviously B. The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. 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: Write an expression for the intensity of the observed light as a function of x, letting. Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. The. 1. C) Health promotion and exercise Acute pain indicates that damage or injury has occurred. 4) helping clients reduce fear and anxiety Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. 5) Prior experiences, which can increase or decrease sensitivity depending on whether clients obtained adequate relief 5) creating a treatment plan that includes both nonpharmacological and pharmacological pain-relieving measures. strength and severity are "measures" of the pain. 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. Pain associated with cancer may be acute or chronic. ATI RN LEADERSHIP MANAGEMENT PROCTORED EXAM (0) PROCTOR ATI COMP REVIEW EXAM REVIEW QUESTIONS ati rn comprehensive predictor 2019 form nurse in pediatric unit is preparing to insert an iv catheter for which. A) Chronic D) The patients hydration status Ati Video Case Study Pain Management Quizlet 1 (888)814-4206 1 (888)499-5521 591 Finished Papers 14 Customer reviews Fast and efficient Paraphrasing Research Paper Research Proposal Scholarship Essay Speech Presentation Statistics Project Term Paper Thesis Thesis Proposal Nursing Management Business and Economics Ethnicity Studies +90 For that problem, though, his painmedicine wasnt just raised and raised. Ice helps decrease swelling and pain. (Select all that apply. Patients requiring opioids for chronic pain, especially cancer patients, need increasing doses to relieve pain. Both patients returned from the same type of surgery 2 hr ago. dependency as opposed to addiction, which is a psychological dependency. The patient appears to be failing to regain to your C) The patients allergy status Feedback: You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. ATI has the product solution to help you become a successful nurse. The nurse should monitor the client for which of the following adverse effcets? ATI Pain Management Posttest Flashcards | Quizlet ATI Pain Management Posttest 5.0 (2 reviews) Term 1 / 7 A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. It is particularly harmful in the elderly who have been injured or who are ill. analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. ID 4817 Quick Delivery from THREE hours D. Determining cost of goods manufactured. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory Determine the effectiveness of nonpharmacological strategies. Notes payable are currently $7 million. Fibromyalgia is closely associated with chronic pain. (Select all that apply. Pharmacological Interventions: Strategies specific for relieving chronic pain include the about interventions, plus: 1) administering long-acting or controlled-release opioid analgesics (including the transdermal route) Feedback: The patient will be at home monitoring his own pain management, administering his own medication, and monitoring and reporting side effects. answers are incorrect. Opioid tolerance is associated with chronic pain treatment and would not likely apply to these patients. It affects only those patients who are already debilitated prior to experiencing pain. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. The nurse caring for a 91-year-old patient with osteoarthritis is reviewing the patieis on a variety of medications prescribed by different care providers in the community. Flashcards in ATI - Pain Management - 41Deck (112) Loading flashcards. $$. "Can you point to where you are having your pain?". ^ { 152 } _{63} \mathrm { Eu } \quad 151.921742\ \mathrm { u } \quad ^ {1} \mathrm { H } \quad 1.007825\ \mathrm { u }\\ \quad \mathrm { n } \quad 1.008665\ \mathrm { u } production and consumption in 2000and in 2010. C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine Teaching the family the theory of pain management or the use of alternative therapies and A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. C. This scale is useful for adult patients who have cognitive impairments. In those situations, neurologic and neurosurgical approaches to pain management may be considered. What teaching should the nurse do with this patient? The pain-medication orders are written as a combination of an opioid analgesic and a b. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. 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. Which of the following medications should the nurse ensure is available in case the client develops respiratory depression? patients advocate in obtaining additional pain relief. familys insights do not override the patients self-report. The family would also need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endanger the patient. Ans: A ing plan of. Skin breakdown and hallucinations are much less likely. 18. 23. This is particularly harmful in patients whose health is already compromised by age, illness, or injury. A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. Which of the following statements should the nurse include? The nurses assessment of the patients pain is a priority. A nurse is caring for a client who has a prescription for heat therapy for knee pain. 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. C) Psychosomatic processes 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief Changing the dressing for a client who has a stage 3 pressure injuryb. How should you most accurately assess this patients pain? Comparing radial . D) The advantages and disadvantages of available pain-relief strategies Older people may respond differently to pain than younger people. ", John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Information Technology Project Management: Providing Measurable Organizational Value, Ch. what variables should the nurse consider? 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 . If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. No research indicates that women and/or people need higher doses of morphine to be comfortable. A nurse is caring for a client who has kidney stones. ), Muscular pain C) Monitor for a paradoxical increase in pain with opioid administration. D) Administer analgesics every 4 to 6 hours as ordered to control pain. 2) children (Select all that apply. 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. Which of the following actions should the nurse plan to take to evaluate the clients' pain control? This fact also corresponds to an increased risk of adverse effects. A) Remind the patient that he is indeed experiencing pain. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. HOW? 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 Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . 3) Consistent timing and dosing of opioid administration provide consistent pain control (Select all that apply. Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards A nurse is preparing to assess the pain level of a 4-year-old child. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. Wellness & Self-Care. Which of the following pain management protocols should the nurse use when caring for this client? The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. This patient does not have an addiction and the familys concerns are secondary to those of the patient. (Select all that apply.). : 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).
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