A nurse is caring for two patients of different cultural backgrounds. Key Term ati video case study pain management; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so . Ans: A The client reports taking an opioid prescription for chronic pain. It is ongoing or recurs frequently, lasting longer than 6 months and persisting beyond tissue healing, 1) nociceptive pain arises from damage to or inflammation of tissue other than that of the peripheral and central nervous systems, 1) neuropathic pain arises from abnormal or damaged pain nerves (Select all that apply. "Justice allows the client the opportunity to be treated fairly.". 3) Consistent timing and dosing of opioid administration provide consistent pain control ), Respiratory rate In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. Frequency of administration will vary widely according to numerous variables. 14. A) Teach the family the theory of pain management and the use of alternative therapies. The family members will bevering a EMH. 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. A) Endorphin levels may vary between patients, affecting the perception of pain. patients care, what variables should you consider? Feedback: (Select all that apply. Offering spiritual as concerned. The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. Feedback: Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine The 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 $$ A) Use a chart with English on one side of the page and the patients native language on the other so hecan rate his pain. (Select all that apply.). The nurse should describe what pathophysiologic process? The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? Ans: D Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. ATI Skills Module 3.0 - Pain Management Flashcards | Quizlet ATI Skills Module 3.0 - Pain Management 5.0 (5 reviews) Term 1 / 7 A nurse is preparing to assess the pain level of a 4-year-old child. This principle supersedes the other listed statements. Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . Transmission, perception, and modulation aren or burn, Older people may respond differently to pain than younger people. eful to prevent, B) Frequently, female patients and younger patients need higher doses of opioids to be comfortable. ATI has the product solution to help you become a successful nurse. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. safe manner. Skills Modules 3.0. This fact also 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. 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. Increasing his exercise and activities to create distractions is unrealistic when a patient is in intractable pain and this recommendation conveys the attitude that the pain is not real. dy have been tried, You are caring for a 20-year-old patient with a diagnosis of cerebral palsy who has been admirelief of painful contractures in his lower extremities. Which of the following statements by a staff member indicates an understanding of the information? 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. (Select all that apply. 7) Support systems that are present and can decrease sensitivity to 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? A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Low levels of pain are easier to reduce or control than intense levels of pain. 28. ), Fear of addiction Feedback: 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 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. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1). B) When dealing with withdrawal symptoms resulting from the tolerance You may be worried that your teacher will know that you took an expert's assistance to . Seventy-two percent of American adults have read a book within the past year. The client reports unbearable pain after attempting six demand doses within the last hour. Find the net cost (invoice amount) for the following. Help students master more than 180 essential nursing skills from the convenience of an online skills lab. 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. his gender is. 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. The patient appears to be failing to regain to your Fibromyalgia is closely associated with chronic pain. ", A nurse is assisting with a staff in-service regarding pain control. Weight Mass Student - Answers for gizmo wieght and mass description. The main reason is that the writing quality premium writers produce is figuratively out of this world. Although all answers are correct, the mostconclusion would be to reinforce teaching about the pain scale. D) The advantages and disadvantages of available pain-relief strategies 2) The parenteral route is best for immediate, short-term relief of acute pain. 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? Which of the following statements should the nurse include? market environment. Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. ask the following questions: Where are you when the symptoms occur? View All Products Facebook Question of the Week nurses best response? C) Oral analgesia Asking the patient to write similarly requires the use of English. 1. What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? This method also reduces, but does not eliminate, adverse effects of the opioid. Depression is associated with chronic pain and can be exacerbated by the effects of chronic fatigue. D) Case manager Mansfield Corporation had 20X1 sales of $100 million. Compare and contrast India's oil aspects of transmission, perception, or modulation of pain that are listed. 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. A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" Modulation occurs in the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli. I suffer from chronic pain anyway, and now it is so much worse. subsequent to this process. ent is, A) Pain often comes and goes with postsurgical patients. before he got cancer because he broke his back about 20 years ago. Disease severity. Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) A broad definition of pain is whatever the person says it is, existing whenever the experiencing person says it does. "On a scale from 0-10, how do you rate your pain?". production and consumption in 2000and in 2010. patient is in so much pain that he cannot institute reliable alternative methods. You are the home health nurse caring for a homebound client who is terminally ill. You are delipatient-controlled analgesia (PCA) pump to the patient at your visit today. Backache Which of the following provider prescriptions for initial pain relief should the nurse question? its three formsweak, semistrong, and strongand briefly discuss the degree to For patients who have persistent, severe pain that fails to respond to other treatments or who obtain pain relief only with the risk of serious side effects, medication administered by a long-term intrathecal or epidural catheter may be effective. It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. D) Your body absorbs less of the drug due to the cancer. Chronic pain istreatable. Which of the following examples should the nurse include as an example of autonomy? C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. What is the worst/best the pain has been? This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. The patient is asking for a breakthrough dose ofanalgesia. Test. Ask "What does the pain feel like?" Overdose is not an inevitable risk. B) Diverting noxious information from passing through the dorsal root ganglia and synapses in thedorsal horn of the spinal cord. A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. The other options are all good answers for this patient because of the patients age and disease process. a. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. Which of the following categories should the nurse include? Ans: C b. inadequate.Whatteachingshouldthenursedowiththispatient? Ans: C Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. ), Muscular pain 1) Anticonvulsants: carbamazepine (Tegretol) View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. D) Its not unusual for patients to misreport pain to get our attention when we are busy. A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. True or false? Ans: B Which of the following actions should the nurse take? 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. Nurses should understand the effects of chronic pain on patients and families and should be knowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain management. D) Cancer pain is often misreported by patients because of confusion related to their disease process. for ati pain management flashcards on Quizlet. Which of the following should the nurse include as barriers to end-of life pain management? ", A nurse is discussing cutaneous stimulation with a client who has back pain. answers are incorrect. Which of the following characteristics applies to process costing but not to job order cost accounting? Which of the following actions should the nurse take? effects of the drug, and the body does not absorb less of the drug because of the cancer. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. . b. Which of the following manifestations is an objective indicator of pain? Belief that pain is an expected part of their illness Cross), Give Me Liberty! This regimemotivated by the need to prevent respiratory depression or to eliminate nighttime dosing. pain that she rates as 8 on a 0-to-10 point scale. This requires the ability to perform self-care activities in aion, 3) prevent gastric upset by administering the medication with food or antacids B) Provide psychosocial family support during this emotional experience. A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. e the, D) Does the increasing medication dosage concern you? the, A) Neuroplasticity 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 may also verify that the same scale is being used by a. A comparably equipped car sells this year for$22,500. Prescriptions containing guidelines for pain medication administration. 4) Antihistamine: hydroxyzine (Visaril) Light of wavelength is used in a Michelson interferometer. A) Intravenous analgesia RN ATI capstone proctored comprehensive assessment 2019 B . which existing empirical evidence supports each of the three forms of the Of the listed options, a language comparison chart is most plausible. The oral route is better for chronic, nonfluctuating pain The patient problematic. Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. Bedrooms. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Teaching the family the theory of pain management or the use of alternative therapies and You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. 4) arthritis Which of the following questions should the nurse ask to evaluate the letter "R"? What happens to the profits of boat makers in the short run? Select all that apply. what variables should the nurse consider? Feedback: Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. A) Monitor for signs of drug toxicity due to a decrease in metabolism. Ans: C dependency as opposed to addiction, which is a psychological dependency. 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. Skin breakdown and hallucinations are much less likely. 5) Glucocorticoids: dexamethasone (Decadron) You review her PRN medications and see that she has an NSAID What would be the nurses best response? 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) 2) children D) Provide medication as per patient request and offer relaxation techniques to promote comfort. Which of the following medications should the nurse ensure is available in case the client develops respiratory depression? This is particularly harmful in patients whose health is already compromised by age, illness, or injury. Acuindicates that damage or injury has occurred. With regard to the actions of employees outside the scope of employment, which of the following statements is true? 6) Antiemetics: ondansetron (Zofran), Pharmacological Interventions: PCA is a medication delivery system that allows clients to self-administer safe doses of opioids, 1) small, frequent dosing ensures consistent plasma levels used to prevent pain so pain medication is not increased when pain becomes intense. D) Intramuscular analgesia Write an expression for the intensity of the observed light as a function of x, letting. Using the nursing process, on which concepts should the nurse focus the patient teaching? ati skills 3.0 : Surgical Asepsis Posttest, PTH 105 Ch 14 Challenges of ambulating GAIT, ATI: Comprehensive physical assessment of an, Fundamentals ATI proctored study material, Service Management: Operations, Strategy, and Information Technology, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Operations Management: Sustainability and Supply Chain Management, STAT 1100: Chapter 20: Inference About a Popu. management. 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. Feedback: D) One of the patients may be experiencing opioid tolerance. C) Type of procedure be performed Use of a predetermined overhead rate. 2) lack of knowledge The nurses assessment of the patients pain is a priority. A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. C) Unless there is strong evidence to the contrary, we should take the patients report at face value. Capnography Briefly explain the concept of the efficient market hypothesis (EMH) and each of Ans: D B) The patients blood pressure Which of the following is a pain management protocol that should be used by the nurse in this situation? 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. NSAIDs do not act directly on thehery; this B) The patient is likely frustrated because she has to be in the hospital. missing part. Action should be taken unless there are demonstrable extenuating circumstances. Select all that apply. 4) clients should let the nurse know if using the pump does not control the pain The balance sheet items that vary directly with sales and the profit margin are as follows: The dividend payout rate is 50 percent of earnings, and the balance in retained earnings at the end of 20X1 was$33 million. B) Misperception Moving into a nursing homeic when a patient is in intractable Which of the following statements should the nurse make? Comparing radial . A) Remind the patient that he is indeed experiencing pain. The nurse educates the mother about whher pain management? Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. Overdose is not an inevitable risk, A) Use a pain scale to assess the patients pain, and let the patient know ibuprofen is avaihours if she needs it. Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. (Select all that apply. appropriate. The nurse should monitor the client for which of the following adverse effcets? It is particularly harmful in the elderly who have been injured or who are ill. 4) helping clients reduce fear and anxiety There is no evidence of cognitive deficits in this patient and the difference between acute and intermittent pain has no immediate bearing on this patients care. 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. The nurse se are ineffective,rves as the 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 . Offering spiritual guidance would not be a priority at this point and morphine is not the only medication administered by PCA. Ans: B 6) neuropathy 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. $$ Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. Benny When shall I pay for the service taken up for the draft writing? a. . Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. ing plan of. Pain medication isents are Chronic pain and acute pain are not mutually exclusive. Which of the following questions should the nurse ask the client to assess the quality of the 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. Little evidence indicates that patients with cancer become addicted to the opioid medications. The family member is obviously concerned. However, further education and assessment are patients, Transmission, perception, and modulation are subsequent to this process. Feedback: A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? C) When having to report the patients addiction to her physician Paradoxical effects are not a common phenomenon. A nurse is evaluating a client's pain level using the PQRST mnemonic. A) When it results in inadequate relief from pain Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. Acute pain indicates that damage or injury has occurred. Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? 4) Cognitive function: clients who are cognitively impaired may not be able to report pain or report it accurately 7) diagnostic or treatment procedures (injection, intubation, radiation), Factors that affect the pain experience include the following, 1) Age: infants cannot verbalize or understand their pain, older adult clients may have multiple pathologies that cause pain and limit function between acute, A patient is experiencing severe pain after suffering an electrical burn in a workplanurse is applying knowledge of the pathophysiology of pain when planning this patients nursing care accident. She states, He was in pain longned Both patients returned from the same type of surgery 2 hr ago. D) To eliminate the potentially adverse effects of the opioid Low levels of pain are easier to reduce or control than intense levels of pain. Although all answers are correct, the most accurate conclusion would be to reinforce teaching about the pain scale. Because elderly people have a slowermetabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of
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