Which of the following provider prescriptions for initial pain relief should the nurse question? Opioids are not absolutely contraindicated and confusion following surgery is never normal. Ans: C The nurse suspects: facet syndrome. A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. The patient is physically exhibiting signs and symptoms of pain. Low levels of pain are easier to reduce or control than intense levels of pain. (review sheet 4) Week 1 A&P Lab with all answers provided Module 5 Family as Client Public Health Clinic-1 Rsch 201 db 2 - Grade: A The Deep Dive Answers - jdjbcBS JSb vjbszbv Feedback: 4) clients should let the nurse know if using the pump does not control the pain b. Database Systems Design Implementation and Management 9th Edition Coronel Solution Manual, Lesson 17 Types of Lava and the Features They Form, Logica proposicional ejercicios resueltos, 1-2 Module One Activity Project topic exploration, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? The nurse is justified in suspecting what phenomenon in the etiology of thepatients pain. It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. Which of the following statements by the patient refers to pain quality? 20. Check the IV sit and PCA pump for proper functioning. Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. Little evidence indicates that patients with cancer become addicted to the opioid medications. D. Determining cost of goods manufactured. B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. 3) Tricyclic antidepressants: amitriptyline (Elavil) (pq)(pq)(p\rightarrow \neg q)\land(p\land q) Conveying patienconcerns to the physician is something a nurse does, but is not the best response by the nurse. Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes? Ans: B, C, D, E Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. Which of the following should the charge nurse include? 61 Comments Please sign inor registerto post comments. B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. Which of the following provider prescriptions for initial pain relief should the nurse question? Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory Which of the following statements by the patient refers to pain quality? Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. The client reports taking an opioid prescription for chronic pain. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. True or false? pain. 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 Comparing radial . 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. For expository writing, our writers investigate a given idea, evaluate its various evidence, set forth interesting arguments by expounding on the idea, and that too concisely and clearly. Ans: A Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. Determining a client's response to a diureticc. (Select all that apply. The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. B. pain management? Chronic pain istreatable. The wife of a patient you are caring for asks to speak with you. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. The client's family asks the nurse about managing the client's pain. C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. With regard to the actions of employees outside the scope of employment, which of the following statements is true? ), Stress Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause 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. strength and severity are "measures" of the pain. HOW? Which of the following client actions is an indication that cranial nerve I is intact? What treatment would you expect might be tried with this patient? Determine whether the given pairs of triangles are similar or not, and explain how you know. Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) Find the net cost (invoice amount) for the following. Culture Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. "On a scale from 0-10, how do you rate your pain?". What happens to the profits of boat makers in the short run? Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. A multimodal regimen combines drugs with different underlying mechanisms, which allows of each of the drugs in the treatment plan, reducing the potential for each to produce adverse efflower dosesects. Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? Both patients returned from the same type of surgery 2 hours ago. 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. b. Oxygen saturation. Bedrooms. The other answers are incorrect. Which of the following statements by the patient refers to pain quality? Although all answers are correct, the mostconclusion would be to reinforce teaching about the pain scale. [Show more] Preview 3 out of 26 pages B) Chronic illness View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. Teaching the family the theory of pain management or the use of alternative therapies and the nurse providing emotional support are important, but the family must be able to operate the pump as well as know the side effects of the medication and strategies to manage them. Over time, the patient is likely to become more tolerant of the dosage. ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain. No research indicates cancer patients misreport pain because of confusion related to their disease process. Which of the following actions should the nurse take? What makes the pain worse? Social support This method also reduces, but does not eliminate, adverse effects of the opioid. C) Assessment for fluid overload Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. 12 Test Bank - Gould's Ch. The nurse se are ineffective,rves as the C) Type of procedure be performed An admission essay, for example, from a premium writer will definitely get you into any college despite the toughness of the . 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. The main reason is that the writing quality premium writers produce is figuratively out of this world. The family member is obviously A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Test. 7) Support systems that are present and can decrease sensitivity to pain $$ 4) helping clients reduce fear and anxiety Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. answers are incorrect. Further teaching may need to be done so the patient can correctly rate the pain. 18. This exquisite Edwardian single-family house has a 1344 Sqft main. The nurse may also verify that the same scale is being used by A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. 3) heat to increase blood flow and to reduce stiffness, Nonpharmacological Pain Management: Distraction, includes ambulation, deep breathing, visitors, television, and music, Nonpharmacological Pain Management: Relaxation, includes meditation, yoga, and progressive muscle relaxation, Nonpharmacological Pain Management: Imagery, 1) focusing on a pleasant thought to divert focus Which of the following is a pain management protocol that should be used by the nurse in this situation? Write an expression for the intensity of the observed light as a function of x, letting. patients care, what variables should you consider? The nurse should describe what pathophysiologic process? A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. Which of the following pain assessment tools should the nurse use? Ans: A A) To prevent respiratory depression from the opioid Of the listed options, a language comparison chart is most plausible. c. Briefly explain the roles or responsibilities of portfolio managers in an efficient Pain associated with cancer may be acute or chronic. If the intervention was ineffective, the nurse should consider other measures. patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. Click the card to flip ATI Proctored Comprehensive B 15 Hour Exam 80 Benchmark 653 On Your Screen Ati proctored comprehensive b 15 hour exam 80 School Bryant and Stratton College, Milwaukee Course Title NURS 301 Uploaded By b00543232 Pages 28 Ratings 80% (5) This preview shows page 7 - 9 out of 28 pages. Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . about the hospitalization or that she has a psychiatric disorder. the patient and caregiver to promote continuity. ATI - Comprehensive Physical Assessment of an Adult Pretest. The nurse may also verify that the same scale is being used by the patient and caregiver to promote continuity. When planning thcare, what do you know about the negative effects of the stress associated with pain? D) Neuropathy, Ans: D Cancert/family A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. (b) What is the deflation rate? 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) Nonpharmacological interventions indeed reduce pain and their use is not limited to practitioners outside the healthcare team. Menstrual discomfort. 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. 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. Fibromyalgia is closelchronic pain. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the peripis a central component of the pathophysiology of transduction. A nurse provides a client with the opportunity to take an intramuscular injection or oral medication for pain relief. A) Self-care and safety Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. A nurse is about to use the Wong-Baker FACES pain level. Which of the following provider prescriptions for initial pain relief should the nurse question? D) When the family becomes concerned about increasing dosage Select all that apply. Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen Offering the medication is more beneficial than letting the patient know ibuprofen is available. Weight Mass Student - Answers for gizmo wieght and mass description. Pain tolerance is the amount of pain a person is willing to bear. Belief that pain is an expected part of their illness C) Placebos are never recommended in the treatment of pain. D) Provide medication as per patient request and offer relaxation techniques to promote comfort. Skills Modules 3.0. but is a separate psychological dependency issue. Acuindicates that damage or injury has occurred. D) Your body absorbs less of the drug due to the cancer. 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. Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. 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? What happens to the number of boat makers in the long run? 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. E. Use of a single Work in Process Inventory account. In lints chart. Self-report using standardized pain scales is useful for clients over the age of 7 years. C) The patient likely has an underlying psychiatric disorder. D) The patient may want to relocate to long-term care in order to have his ADL needs met. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. Over time, the patient is likely to become more tolerant of the dosage. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. Capnography Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. 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: 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. Skin breakdown and hallucinations are much less likely. Which of the following can the nurse be charged with? ), "A client's religious beliefs might affect the way they respond to pain.". A) Teach the family the theory of pain management and the use of alternative therapies. A nurse is caring for a client who has kidney stones. patients advocate in obtaining additional pain relief. at aspect of. aspects of transmission, perception, or modulation of pain that are listed. Which of the following questions should the nurse ask to evaluate the letter "R"? 4. Older adults are not immune to the negative effects of stress. Which of the following actions should the nurse take after performing a pain assessment? indication that the patients medication will be discontinued. with the preventive pain method when PRN medications are given around the clock. tanding the The client reports taking an opioid prescription for chronic pain. A Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse. RN ATI capstone proctored comprehensive assessment 2019 B . Cancer pain is not treated with anti-anxiety medications. This patient does not have an addiction and the familys concerns are secondary to those of the patient. need to assess prior to giving a first dose of narcotics. 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. missing part. ? A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. How often does it occur? Paradoxical effects are not a common phenomenon. C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. This is particularly harmful in patients whose health is already compromised by age, illness, or injury. l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. If these are ineffective, pain-relief goals need to be reassessed in collaboration with the physician. C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. "You should write down the pain interventions you use and your pain rating before and after. This principle supersedes the other listed statements. the mother is afraid that her daughter will overdose. 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 ent is, A) Pain often comes and goes with postsurgical patients. The otherng person My pain feels like I'm being stabbed by a knife. 1. The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. a. Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. Ans: C (ibuprofen) ordered every 6 hours. 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. Ask "What does the pain feel like?" Give more than two choices. A) I didnt know that. (a) What can be said about the inflation rate when the current price is less than the original price? The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. 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. Asking the patient to write similarly requires the use of English. A nurse is preparing to assess the pain level of a 4-year-old child. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. Pain Management Case Study Ati Quizlet 1647 Orders prepared Download Once the deadline is over, we will upload your order into you personal profile and send you a copy to the email address you used while placing order. should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? 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. : 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). It takes less medication to prevent pain than to treat pain. (Select all that apply. the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceptors), occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it, the amount of pain a person is willing to bear, Substances that increase pain transmission and cause an inflammatory response, Substances that decrease pain transmission and produce analgesia, the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli, 1) acute pain is protective, temporary, usually self-limiting, and resolves with tissue healing, 1) chronic pain is not protective. "Can you point to where you are having your pain?". Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. policy as it applies to: i. View All Products Facebook Question of the Week

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