ati pain management quizlet

Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. Which of the following pain management protocols should the nurse use when caring for this client? What would your priority nursing interventions be for this visit? How long does it last? Oneg a pain Which of the following provider prescriptions for initial pain relief should the nurse question? 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. 7) Support systems that are present and can decrease sensitivity to pain This new feature enables different reading modes for our document viewer. Which of the following questions should the nurse ask the client to assess the quality of the pain? Use of a predetermined overhead rate. Order Now Quantity: Call For Pricing!RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019FORM B.180 Q&A. Ans: B, C, D, E ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. C) Psychosomatic processes a) An employer can never be liable for the actions of its employee outside the scope of employment. The patient is asking for a breakthrough dose ofanalgesia. The 1. 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants 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 The nurse is assessing a patients pain while the patient awaits a cholecystecthesitant to move, and grimacing. 4.9/5. Wellness & Self-Care. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. 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. Please ask her about pain again inminutes. 32. A) Remind the patient that he is indeed experiencing pain. View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. The otherng person D) Case manager ATI-FUNDAMENTALS-2019-PROCTORED-EXAM-FUNDAMENTALS-PROCTORED-EXAMATI Fundamentals 2019 Proctored Exam |Fundamentals Proctored ExamA nurse is planning care for a group of clients. C) Placebos are never recommended in the treatment of pain. ATI RN LEADERSHIP MANAGEMENT PROCTORED EXAM (0) PROCTOR ATI COMP REVIEW EXAM REVIEW QUESTIONS ati rn comprehensive predictor 2019 form nurse in pediatric unit is preparing to insert an iv catheter for which. 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. Level: College, High School, University, Master's, PHD, Undergraduate. Little evidence indicates that patients with cancer become addicted to the opioid medications. for ati pain management flashcards on Quizlet. A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. er the, A) The patients electrolyte levels A) Intravenous analgesia The client reports taking an opioid prescription for chronic pain. 3) neuropathic pain is usually intense, shooting, burning, or described as "pins and needles" What is the primary ratiadministering pain medication in this manner? However, thnurse would be most concerned about in terms of ensuring safety. missing part. Which of the following statements by the patient refers to pain quality? Which of the following questions should the nurse ask the client to assess the quality of the pain? . Stress is less pronounced in older adults because they generally have more sophisticated coping skills than younger adults. The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. before he got cancer because he broke his back about 20 years ago. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? 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. Have an opioid antagonist available during the administration. How do you calculate the percentage yield of a chemical reaction? 2) surgery However, further education and assessment are appropriate. ), Stress D) Administer analgesics every 4 to 6 hours as ordered to control pain. Prescriptions containing guidelines for pain medication administration. What is the worst/best the pain has been? You are frequently assessing an 84-year-old womans pain after she suffered a humeral When applying the nursing process in pain management for a patient of this age, what principle shouldfracture in a fall. The scenario does not indicate the present pain-management orders are not working for this patient. Teaching the family the theory of pain management or the use of alternative therapies and Ans: B A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse. No research indicates that women and/or younger people need higher doses of morphine to be comfortable. During a pain assessment, a nurse asks questions about the quality of an adult clients pain. problematic. (PCA) pump. Which of the following should the charge nurse include? 4) helping clients reduce fear and anxiety Each quiz which nursing fundamentals study of quizlet learn ati teas v tests require you can to practice test day filled with? Distorting the action potential that is transmitted along the A-delta (d) and C fibers. 2) administering analgesics around the clock rather than PRN, Undertreatment of pain is a serious complication and may lead to, increased anxiety with acute pain and depression with chronic pain. 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 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. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. 3) Genetic sensitivity, which can increase or decrease pain tolorance Ans: A, B, D a. What happens to the number of boat makers in the long run? A) I didnt know that. 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. Older people may respond differently to pain than younger people. e the, D) Does the increasing medication dosage concern you? A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. (b) What is the deflation rate? C) Type of procedure be performed Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. 18. Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. This patientght of the D) Inhibiting transduction by blocking the formation of prostaglandins in the periphery $78+$50+$95\$78 + \$50 + \$95 Which of the following should the nurse know in order to use this pain scale? ), Respiratory rate B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone ), "A client's religious beliefs might affect the way they respond to pain.". $$. the patient and caregiver to promote continuity. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. The nurses assessment of the patients pain is a priority. A nurse is caring for a client who has kidney stones. The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. When creating a nursing care plan for this patient,tted for the Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers No research indicates that women and/or people need higher doses of morphine to be comfortable. A physician injects 5mg5 \mathrm{mg}5mg of dye into a vein near the heart of a patient and by monitoring the concentration of dye in the blood over a 24-second period, determines that the concentration of dye leaving the heart after ttt seconds ( 0t24)0 \leq t \leq 24)0t24) is given by the function, C(t)={0for0t20.034(t226t+48)for2t24C(t)=\left\{\begin{array}{cl}0 & \text { for } 0 \leq t \leq 2 \\ -0.034\left(t^2-26 t+48\right) & \text { for } 2 \leq t \leq 24\end{array}\right. l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. The nurse knows that the child is at greatest risk for which acid- a. acidosis b. Ans: B Similarly, psychosomatic factors and misperception of pain are highly unlikely. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. Click the card to flip Definition 1 / 7 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. Both patients returned from the same type of surgery 2 hr ago. The latest version of DSM is considered to be the taking care of the patient. A nurse is evaluating a group of clients who are experiencing pain. Compare and contrast India's oil Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. Feedback: As always, the best guide to pain management and administration of analgesic agents in all patients, regardless of age, is what the individual patient says. care for this patient? C) The patients are likely experiencing a variance in vasoconstriction. A nurse is reviewing information for several clients on the unit. The nurse should include that heat therapy is effective for which of the following conditions? Which of the following statements by the patient refers to pain quality? Opioids are not absolutely contraindicated and confusion following surgery is never normal. Belief that pain is an expected part of their illness The familys insights do not override the patients self-report. If thesepain-relief goals need to be reassessed in collaboration with the physician. 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. Feedback: production and consumption in 2000and in 2010. Older adults are not immune to the negative effects of stress. Oxygen saturation. effects of the drug, and the body does not absorb less of the drug because of the cancer. hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. a. 4. Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. Determining a client's response to a diureticc. 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. ATI: Pain Management Flashcards | Quizlet ATI: Pain Management 4.9 (12 reviews) Term 1 / 7 During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. 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. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. 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. What is the nurses best response? but is a separate psychological dependency issue. 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. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. However, further education and assessment are patients, C) Reassess the patients pain in 30 minutes. This principle supersedes the other listed statements. D. Determining cost of goods manufactured. The patient asks the nurse to describe how this pain-relief method works. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. Smaller drug doses of medication are neededgular The main reason is that the writing quality premium writers produce is figuratively out of this world. Which of the following statements by the patient refers to pain quality? The nurse is caring for a male patient whose diagnosis of bone cancer is causing severe pain. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. 6. Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. As a result,e states that Acute pain chronic pain Nociceptive pain: somatic, visceral, and cutaneous Neuropathic pain Risk factors: undertreatment of pain, populations at risk, causes of pain, factors that affect pain experience Pain threshold Pain tolerance Focused pain assessment: OLDCARTS to determine location, quality, intensity, timing, setting, associated Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. y associated with, You are caring for a patient admitted to the medical-surgical unit after fallistates I hurt so bad. ATI has the product solution to help you become a successful nurse. terms that are accessible to the patient. 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. What is the nurses most plausible rationale for underspatients different perceptions of pain? B) The patient is likely frustrated because she has to be in the hospital. aspects of transmission, perception, or modulation of pain that are listed. Which of the following is a pain management protocol that should be used by the nurse in this situation? The patient Consider each client's cultural preferences. 2) eventually, increase in vital signs will stabilize despite the persistence of 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. C) Inadequate pain control Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory Backache You review her PRN medications and see that she has an NSAID It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief C) Assessment for fluid overload Anxiety is also plausible, but depression is a paramount risk. How should you most accurately assess this patients pain? A Paradoxical effects are not a common phenomenon. 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. A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. (Select all that apply. If the intervention was ineffective, the nurse should consider other measures. ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. When planning thcare, what do you know about the negative effects of the stress associated with pain? Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. patientisinsomuchpainthathecannotinstitutereliablealternativemethods. Further teaching may need to be done so the patient can correctly rate the pain. Evaluate the client for pain by observing their behavior. There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. 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. You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. Menstrual discomfort. (Select all that apply. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions A patient who receives opioids by any route must be assessed frequently for changes in respiratory status. in the Bedrooms. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. 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

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