2) moaning, crying Smaller drug doses of medication are neededgular Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC is problematic. 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery A 74-year-old woman was diagnosed with rheumatoid arthritis 1 year ago, but has achieved adequatesymptom control through the regular use of celecoxib (Celebrex), a COX-2 selective NSAID. 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 List price: $1308\$ 1308$1308 less 20/2520 / 2520/25. e the, D) Does the increasing medication dosage concern you? The other options are all goodof chronic Dependence is not a concept used to develop a nursing plan of care, and health is too broad a concept to use as a basis for a nursing plan of care. (Select all that apply. Both patients returned from the same type of surgery 2 hr ago. market environment. The nurse may also verify that the same scale is being used by When asked, the patient rates his pain as a 2 at this time usiomy. The nurse knows that the child is at greatest risk for which acid- a. acidosis b. 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) B) Chronic illness 5) to prevent inadvertent overdosing, the client is the only person who should push the PCA button. ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain. A nurse is caring for a group of clients on the pediatric unit. Two patients on your unit have recently returned to the postsurgical unit after knee arthroplapatient is reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the other patient is reportinsty. The other answers are incorrect. Self-report using standardized pain scales is useful for clients over the age of 7 years. Little evidencepatients with cancer become addicted to the opioid medications. ATI has the product solution to help you become a successful nurse. accurate, Your patient is 12-hours post ORIF right ankle. A nurse is caring for two patients of different cultural backgrounds. Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes? 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants Feedback: Medication should begin at a low dose and slowly increase until the pain is managed. nurses best response? C) The patient may want to increase his exercise and activities significantly to create distractions. What is the worst/best the pain has been? A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. Paradoxical effects are not a common phenomenon. (TENS) Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. Which of the following should the nurse know in order to use this pain scale? 2) Antianxiety agents: diazepam (Valium) Disease severity. nurse should consider what characteristic of cancer pain? Low levels of pain are easier to reduce or control than intense levels of pain. ), "You can be taught how to use TENS therapy at home. Determine the effectiveness of nonpharmacological strategies. D) Use the services of a translator each time you assess the patient so you can documenpain rating. View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. policy as it applies to: i. 5) fibromyalgia Ans: B neurosurgical approaches to pain management may be considered. Seventy-two percent of American adults have read a book within the past year. The nurses assessment of the patients pain is a priority. Skills Modules 3.0. Acute pain is usually of recent onset and commonly associated with a specific injury. Feedback: 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. It won't be cheap but money isn't the reason why students in the U.S. seek the services of premium writers. 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 Social support Ans: B, C, D, E The unit cost of normal spoilage is the same as the unit cost of abnormal spoilage. Do you agree? inadequate. uprofen every. 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. ATI Funds EXAM 200 Questions PSY215 1-2 assignment EDUC 327 The Teacher and The School Curriculum Document The cell Anatomy and division. B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. A nurse is preparing to assess the pain level of a 4-year-old child. How often does it occur? 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. C. Equivalent units of production. ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. Class of medication used to treat acute postoperative pain. management. Meditation is one of the recognized mind-body methods of nonpharmacological pain control. C) The patients allergy status Which of the following tasks should the nursedelegate to an assistive personnel?a. A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. Creating autonomy is important, but need is a poorly defined concept. What makes the pain worse? Which of the following can the nurse be charged with? 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. Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . Jennifer McNeely D40511762 What elements are included in a pain assessment? familys insights do not override the patients self-report. management. When creating a nursing care plan for this patient,tted for the 3. The oral route is better for chronic, nonfluctuating pain 3) older adults . Which of the following questions should the nurse ask the client to assess the quality of the pain? Which of the following statements should the nurse make to the client's family? 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. D) Provide family teaching regarding use of morphine, recognizing morphine overdose, and offeringspiritual guidance. D) Neuropathy, Ans: D A) Monitor for signs of drug toxicity due to a decrease in metabolism. You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. 28. However, further education and assessment are appropriate. A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. 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. The patients comorbid conditions will also affect care, but not a key consideration. Which of the following is a pain management protocol that should be used by the nurse in this situation? True or false? Which of the following actions should the nurse take? A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Which of the following is a pain management protocol that should be used by the nurse in this situation? Osteopenic pain is not a recognized category of pain. I suffer from chronic pain anyway, and now it is so much worse. Feedback: The nurse should monitor the client for which of the following adverse effcets? Nowhere in the scenario does it indicate the patient is upsetsult in C) Health promotion and exercise 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. The dose range is usually higher with cancer patients. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. Radiography reveals an ulnar fracture. y associated with, You are caring for a patient admitted to the medical-surgical unit after fallistates I hurt so bad. What is the nurses most plausible rationale for underspatients different perceptions of pain? Which of the following provider prescriptions for initial pain relief should the nurse question? Feedback: 39. A) Chronic Feedback: Which of the following actions should the nurse plan to take to evaluate the clients' pain control? Consider each client's cultural preferences. 4.9/5. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. 2) Elevation of edematous extremities to promote venous return and decrease swelling, Pharmacological Interventions: Analgesics, are the mainstay for relieving pain. This patient does not have an addiction and the familys concerns are secondary to those of the patient. D) Provide medication as per patient request and offer relaxation techniques to promote comfort. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. The nurse suspects: facet syndrome. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. 4) It is essential to monitor and intervene for adverse effects of opioid use: constipation, orthostatic hypotension, urinary retention, nausea/vomiting, sedation, respiratory depression, Pharmacological Interventions: Adjuvant analgesics enhance the effects of nonopioids, help alleviate other symptoms that aggravate pain (depression, seizures, inflammation), and are useful for treating neuropathic pain, Adjuvant medications include: patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. D. Determining cost of goods manufactured. 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. Which of the following responses should the nurse take? Have the client rate their pain using a standard scale. 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. 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. 2) children A nurse is assessing a client's cranial nerves. 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. "Can you point to where you are having your pain?". Ans: C Offering the medication is more beneficial than letting the patient know ibuprofen is available. Fibromyalgia is closelchronic pain. Feedback: A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. The patient is tearful,ng a 0-to- a. Which of the following statements by the patient refers to pain quality? The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. Chronic pain is treatable. Feedback: ), "A client's religious beliefs might affect the way they respond to pain.". However, this is not true for many people. Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. B) One of the patients is exaggerating his or her sense of pain. What are you doing when the symptoms occur? Ans: C 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. ATI has the product solution to help you become a successful nurse. Test. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. The nurse is caring for a male patient whose diagnosis of bone cancer is causing severe pain. It takes less medication to prevent pain than to treat pain. 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? C) Unless there is strong evidence to the contrary, we should take the patients report at face value. Decreasing the need to work does not address his pain. ent is, A) Pain often comes and goes with postsurgical patients. Cancert/family ATI pain management post test During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. (PCA) pump. 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 A nurse is caring for a client who is postoperative following abdominal surgery and has a morphine PCA pump. Please ask her about pain again inminutes. B) We need to provide pain medications because it is the law, and we must always follow the law. Further teaching may need to be done so the patient can correctly rate the pain. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. ^ { 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 } A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. Over the years, therdamage, and the patient is in chronic pain. : 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). Light of wavelength is used in a Michelson interferometer. Feedback: One way preventive pain measures can be implemented is by using PRN medications on a more regular or scheduled basis to allow for more uniform pain control. (pq)(pq)(p\rightarrow \neg q)\land(p\land q) 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. b. 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. How do you calculate the percentage yield of a chemical reaction? 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 ATI PEDIATRIC Proctored Exam (New 2020 / 2021) 1. Feedback: 3) Tricyclic antidepressants: amitriptyline (Elavil) Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. c. Briefly explain the roles or responsibilities of portfolio managers in an efficient 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 nurse is assessing a patients pain while the patient awaits a cholecystecthesitant to move, and grimacing. How should you most accurately assess this patients pain? hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. Click the card to flip Definition 1 / 7 Click the card to flip at aspect of. Feedback: analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. Feedback: For patients who have persistent, severe pain that fails to respond to other treatmentsrelief only with the risk of serious side effects, medication administered by a long-term intrathecal or or who obtain pain 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. a) An employer can never be liable for the actions of its employee outside the scope of employment. E. Use of a single Work in Process Inventory account. gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. $$ 3) Genetic sensitivity, which can increase or decrease pain tolorance However, thnurse would be most concerned about in terms of ensuring safety. Which of the following pain assessment tools should the nurse use? My pain feels like I'm being stabbed by a knife. tanding the before he got cancer because he broke his back about 20 years ago. B) You may have become immune to the effects of the drug. answers are incorrect. (Select all that apply. Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. 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 Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. She states, He was in pain longned C) Inadequate pain control C) When having to report the patients addiction to her physician 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 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. What type of pain are you addressing when you provider vehicle D) Inhibiting transduction by blocking the formation of prostaglandins in the periphery B. B) Ask the patient to write down a number according to the 0-to-10 point pain scale. The latest version of DSM is considered to be the ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. The nurse should document that the client is experiencing which of the following types of pain? 12 Test Bank - Gould's Ch. 2) surgery At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. There is no evidence of cognitive deficits in this patient and the differenceand intermittent pain has no immediate bearing on this patients care. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. A) Depression Last year a new car sold for $24,950. ey are not what the, You are caring for a patient with sickle cell disease in her home. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Which of the following statements should the nurse include? 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. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) What would your priority nursing interventions be for this visit? Ans: A Feedback: The patient has developed a tolerance to her usual paine has been joint Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is 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. If PCA is to be used in the patients home, the patient and family are taught about the operatiopump as well as the side effects of the medication and strategies to manage them. Transmission, perception, and modulation aren or burn, Mansfield Corporation had 20X1 sales of $100 million. What is thee nurse why he has had 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. Can the read and write methods in the Buffer class be executed concurrently? Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. Although tolerance to the drug will increase, addiction is not dose related, D) To eliminate the potentially adverse effects of the opioid Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- definitive guide to defining psychological disorders. Which of the following statements by the client indicates an understanding of the instructions? b. Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. Which of the following statements by the client refers to pain quality? D) When the family becomes concerned about increasing dosage o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. pain that she rates as 8 on a 0-to-10 point scale. Ans: B Offering spiritual as gabapentin (Neurontin). In general, adverse effects are minimal. level of 3 to 4 on the same pain scale. in the $78+$50+$95\$78 + \$50 + \$95 ), Respiratory rate 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. Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. Ans: A 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) Monitor for a paradoxical increase in pain with opioid administration. Is it constant or intermittent? trigeminal neuralgia. A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. patients advocate in obtaining additional pain relief. Frequency of administration will vary widely according to numerous variables. How does the pain affect your ability to work and do your job?
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