Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. Help students master more than 180 essential nursing skills from the convenience of an online skills lab. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . 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? When creating a nursing care plan for this patient,tted for the Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife Discuss each of these separately. and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. Can the read and write methods in the Buffer class be executed concurrently? . The Feedback: Here are some atomic masses and the neutron mass. Ans: C pain. management. View All Products Facebook Question of the Week A nurse is assessing a client's cranial nerves. Feedback: Seventy-two percent of American adults have read a book within the past year. Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. nonsteroidal anti-inflammatory drug (NSAID) given together. Both patients returned from the same type of surgery 2 hr ago. Feedback: A) Placebos require a higher level of informed consent than conventional care. Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. 4. D) Administer an analgesic and then reassess. EMH. Ans: B B) Transmission, C) Perception The oral route is better for chronic, nonfluctuating pain A broad definition of pain is whatever the person says it is, existing whenever the experiencing person says it does. The patient has developed a tolerance to her usual paine has been joint l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. (Select all that apply. Conveying patienconcerns to the physician is something a nurse does, but is not the best response by the nurse. 18. Regardless of how patients cope with chronic pain, pain that lasts for an extended period can redepression, anger, or emotional withdrawal. (pq)(pq). Ans: B 22. 2) Antianxiety agents: diazepam (Valium) The dose range is usually higher with cancer patients. D) Changes in neurologic function due to the procedure 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 other options are all goodof chronic C) Placebos are never recommended in the treatment of pain. The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. B) The patient is likely frustrated because she has to be in the hospital. Which of the following actions should the nurse take? 5) Glucocorticoids: dexamethasone (Decadron) A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. 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. The patient asks the nurse to describe how this pain-relief method works. ATI pain assessment - Ati virtual assignment Ati virtual assignment University Winston-Salem State University Course Adult Health Nursing I (NUR 3102) Uploaded by Ttrock Childs Academic year2021/2022 Helpful? level of 3 to 4 on the same pain scale. Which of the following is a pain management protocol that should be used by the nurse in this situation? Feedback: Bedrooms. The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve 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? Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. Ans: B Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC is problematic. 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. If the intervention was ineffective, the nurse should consider other measures. A) How the presence of pain affects patients and families You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. What happens to the profits of boat makers in the short run? 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy 3) cancer (tumor invasion, nerve compression, bone metastases, associated infections, immobility) The initial assessment reveals long-term use of opioids for chronic pain. The elderly often require lower doses of medication and are easily confused with new medications. Feedback: A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. Low levels of pain are easier to reduce or control than intense levels of pain. b. A. Class of medication used to treat acute postoperative pain. Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, 2) cold for inflammation C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. Further teaching may need to be done so the patient can correctly rate the pain. 4) helping clients reduce fear and anxiety Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) Briefly discuss the implications of the efficient market hypothesis for investment Which of the following statements by the patient refers to pain quality? 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) List price: $1308\$ 1308$1308 less 20/2520 / 2520/25. ATI-FUNDAMENTALS-2019-PROCTORED-EXAM-FUNDAMENTALS-PROCTORED-EXAMATI Fundamentals 2019 Proctored Exam |Fundamentals Proctored ExamA nurse is planning care for a group of clients. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. y associated with, You are caring for a patient admitted to the medical-surgical unit after fallistates I hurt so bad. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) The client's family asks the nurse about managing the client's pain. . its three formsweak, semistrong, and strongand briefly discuss the degree to but is a separate psychological dependency issue. myofascial pain syndrome. C) The influence of the patients cognition on her pain The nurse should not assume thelerance is associated with ^{152}_{63}Eu Using the nursing process, on which concepts should the nurse focus the patient teaching? 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. answers for this patient because of the patients age and disease process. ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. D) To eliminate the potentially adverse effects of the opioid C. Equivalent units of production. During a pain assessment, a nurse asks questions about the quality of an adult clients pain. The patient is asking for a breakthrough dose ofanalgesia. D) Use the services of a translator each time you assess the patient so you can documenpain rating. A nurse is evaluating a group of clients who are experiencing pain. A comparably equipped car sells this year for$22,500. Light of wavelength is used in a Michelson interferometer. Opioids are not absolutely contraindicated and confusion following surgery is never normal. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Ans: B Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. The other options are all good answers for this patient because of the patients age and disease process. The requirement for higher drug doses results in a greater drug tolerance, which is a physing doses to relievecal Teaching the family the theory of pain management or the use of alternative therapies and However, further education and assessment are patients, Transmission, perception, and modulation are subsequent to this process. 39. A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. A) Cancer pain is often related to the stress of the patient knowing she has cancer and rerelatively low doses of pain medications along with a high dose of anti-anxiety medications, The mother of a cancer patient comes to the nurse concerned with her daughters safety. When addressing the patients pain in her plan of nursing carat has e, the A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. 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. 4) Antihistamine: hydroxyzine (Visaril) 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. 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. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. In those situations, neurologic ancologic andd ), "You can be taught how to use TENS therapy at home. Ans: C Which of the following should the nurse know in order to use this pain scale? B. Acuindicates that damage or injury has occurred. Health promotion is an important global concept for maintaining health, and exercise is an appropriate activity; however, self-care and safety are the priorities. Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care. 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. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife Have an opioid antagonist available during the administration. Different people feel different degrees of pain from similar stimuli. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. The nurse educates the mother about whher pain management? In general, adverse effects are minimal. B) Reinforce teaching about the pain scale number system. ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen 28. B) When dealing with withdrawal symptoms resulting from the tolerance B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. Feedback: The dose range is usuallyhigher with cancer patients. Each quiz which nursing fundamentals study of quizlet learn ati teas v tests require you can to practice test day filled with? The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. ", John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Information Technology Project Management: Providing Measurable Organizational Value, Ch. HOW? Ask the client to point to the location. (a) What can be said about the inflation rate when the current price is less than the original price? C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine C) The patient may want to increase his exercise and activities significantly to create distractions. 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants 3) Consistent timing and dosing of opioid administration provide consistent pain control The scenario does not indicate the present pain-management orders are not working for this patient. Comparing radial . NSAIDs do not act directly on thehery; this Determining a client's response to a diureticc. D) Osteopenic 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 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. ), Fear of addiction The patient appears to be failing to regain to your Which of the following tasks should the nursedelegate to an assistive personnel?a. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. ), Transcutaneous electronic stimulating unit (TENS unit). Select all that apply. Click the card to flip Definition 1 / 7 Which of the following questions should the nurse ask to evaluate the letter "R"? D) Modulation What is the worst/best the pain has been? Analyze this decision in light of the perceptual matters relating to branding. What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? Older adults are not immune to the negative effects of stress. Ans: D A) To prevent respiratory depression from the opioid Fibromyalgia is closely associated with chronic pain. for ati pain management flashcards on Quizlet. The initial assessment reveals long-term use of opioids for chronic pain.
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