Ch 12 - Test bank - Chapter 12: Pain Management The nurse who is a member of the palliative care - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. level of 3 to 4 on the same pain scale. C) Reassess the patients pain in 30 minutes. The Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause The nurse educates the mother about whher pain management? D) Intramuscular analgesia production and consumption in 2000and in 2010. Skin breakdown and hallucinations are much less likely. the mother is afraid that her daughter will overdose. accurate, Your patient is 12-hours post ORIF right ankle. Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. c. Briefly explain the roles or responsibilities of portfolio managers in an efficient Which of the following pain management protocols should the nurse use when caring for this client? ATI: Pain Management Flashcards | Quizlet neurosurgical approaches to pain management may be considered. Which of the following statements should the nurse make? As a result,e states that patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. What treatment would you expect might be tried with this patient? RN ATI Capstone Proctored Comprehensive Assessment 2019 B 1 review $ 15 B) Monitor for an increase in absorption of the drug due to age-related changes. Asking the patient to write similarly requires the use of English. A) When it results in inadequate relief from pain Light of wavelength is used in a Michelson interferometer. safe manner. ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. D) Chronic pain can cause intense emotional responses. Decreasing the need to work does not address his pain. Much pain associated with cancer is a direct result of tumor involvement. Distorting the action potential that is transmitted along the A-delta (d) and C fibers. When planning theng from a horse. a. However, further education and assessment are patients, 2) Elevation of edematous extremities to promote venous return and decrease swelling, Pharmacological Interventions: Analgesics, are the mainstay for relieving pain. Ans: B Order Now Quantity: Call For Pricing!RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019FORM B.180 Q&A. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Ans: A Seventy-two percent of American adults have read a book within the past year. Which of the following statements by the patient refers to pain quality? Which of the following actions should the nurse take? What is the nurses most plausible rationale for underspatients different perceptions of pain? The nurse who is a member of the palliative care team is assessing a patient. 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 D) Provide family teaching regarding use of morphine, recognizing morphine overdose, and offeringspiritual guidance. This method also reduces, but does not eliminate, adverse effects of the opioid. Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards (Select all that apply. 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. 1035 Natoma Street, San Francisco. 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? Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. y associated with, You are caring for a patient admitted to the medical-surgical unit after fallistates I hurt so bad. B) Long-term intrathecal or epidural catheter b. a. $$ Feedback: Opioid tolerance is associated with chronic pain treatment and would not likely apply to these patients. ", A nurse is assisting with a staff in-service regarding pain control. 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. What is the primary ratiadministering pain medication in this manner? The nurse should not assume the patient is exaggerating the pain because the patient is the best authority of his or her existence of pain, and definitions for pain state that pain is whatever the person says it is, existing whenever the experiencing person says it does. D) Use the services of a translator each time you assess the patient so you can documenpain rating. The family would alson of the Older adults are not immune to the negative effects of stress. Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. It affects only those patients who are already debilitated prior to experiencing pain. Feedback: Ask the following questions: How much pain do you have now? Feedback: Belief that pain is an expected part of their illness What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? 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. ^{152}_{63}Eu (TENS) 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. Use a pain scale specific to each client's cognitive abilities. 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. D. Have an opioid antagonist available during the administration. Which of the following pain management protocols should the nurse use when caring for this client? Cancert/family Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife ATI Funds EXAM 200 Questions PSY215 1-2 assignment EDUC 327 The Teacher and The School Curriculum Document The cell Anatomy and division. need to assess prior to giving a first dose of narcotics. A Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. myofascial pain syndrome. Ans: C Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adeqcontrol. Which of the following actions should the nurse take after performing a pain assessment? B) Ask the patient to write down a number according to the 0-to-10 point pain scale. A nurse is evaluating a group of clients who are experiencing pain. The nurse should document that the client is experiencing which of the following types of pain? The wife of a patient you are caring for asks to speak with you. Fibromyalgia is closelchronic pain. 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. Acute pain indicates that damage or injury has occurred. Ans: B Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC is problematic. used to prevent pain so pain medication is not increased when pain becomes intense. A nurse is caring for two client who are 2 hr postoperative following the same procedure. Which of the following can the nurse be charged with? 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. C) Inadequate pain control The nurse may also verify that the same scale is being used by 22. Pain Management Nurse Exam Sample Questions | ANA 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 . B) Chronic illness B. Electrolyte values, blood pressure, and hydration status are should assess for any not what you When addressing the patients pain in her plan of nursing carat has e, the ), "You can be taught how to use TENS therapy at home. Use this information to find the patient's cardiac output. Teaching the family the theory of pain management or the use of alternative therapies and Offer to assist the client with nonpharmacological relief strategies. A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. Feedback: Different people feel different degrees of pain from similar stimuli. Select all that apply. The dose range is usually higher with cancer patients. 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 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 B) Resources that can assist the patient with pain management 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. Stress is less pronounced in older adults because they generally have more sophisticated coping skills than younger adults. However, further education and assessment are appropriate. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. which existing empirical evidence supports each of the three forms of the A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. 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. Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. (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). B. Identifiable units of production. The patient is physically exhibiting signs and symptoms of pain. Ask "What does the pain feel like?" Which of the following is a pain management protocol that should be used by the nurse in this situation? 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. Depression is associated with chronic pain and can be exacerbated by the effects of chronic fatigue. 61 Comments Please sign inor registerto post comments. The latest version of DSM is considered to be the Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. ), Muscular pain (Select all that apply. Regardless of how patients cope with chronic pain, pain that lasts for an extended period can redepression, anger, or emotional withdrawal. medication. D) Its not unusual for patients to misreport pain to get our attention when we are busy. 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 C) Check for allergies, use a pain scale to assess the patients pain, and offer the ibhours until the patient is discharged. Similarly, psychosomatic factors and misperception of pain are highly unlikely. policy as it applies to: i. C) The patients allergy status Ans: A What makes the pain worse? A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. C) The patients are likely experiencing a variance in vasoconstriction. indication that the patients medication will be discontinued. Which of the following examples should the nurse include as an example of autonomy? 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. A nurse is caring for two patients of different cultural backgrounds. The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. 4) Cognitive function: clients who are cognitively impaired may not be able to report pain or report it accurately During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. D) Administer analgesics every 4 to 6 hours as ordered to control pain. Class of medication used to treat acute postoperative pain. NSAIDs do not act directly on thehery; this Radiography reveals an ulnar fracture. Check the IV site and PCA pump for proper functioning. ATI RN Capstone Proctored Comprehensive Assessment 2019 B ATI 2019 $ 11.00 Add to cart ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM . Ans: C patients. A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. Feedback: A nurse is about to use the Wong-Baker FACES pain level. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, ), Fear of addiction C(t)={00.034(t226t+48)for0t2for2t24. 1. B) Misperception The other answers are incorrect. Pain Management - ATI Testing B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) patientisinsomuchpainthathecannotinstitutereliablealternativemethods. C) When having to report the patients addiction to her physician trigeminal neuralgia. 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain Ans: A, B, D When asked, the patient rates his pain as a 2 at this time usiomy. Select all that apply. Use of a predetermined overhead rate. Briefly explain the concept of the efficient market hypothesis (EMH) and each of Analyze this decision in light of the perceptual matters relating to branding. Ans: D 2) carefully titrate doses while closely monitoring respiratory status This fact also Feedback: D) Inhibiting transduction by blocking the formation of prostaglandins in the periphery Skills Modules - for Educators | ATI EMH. Ice helps decrease swelling and pain. What happens to the profits of boat makers in the short run?
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