A nurse is providing end-of-life care for a client who is unresponsive and near death. 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. 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. Which of the following actions should the nurse take? Ans: D patients care, what variables should you consider? The nurse should document that the client is experiencing which of the following types of pain? Feedback: A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN. The dose range is usuallyhigher with cancer patients. Feedback: Which of the following should the nurse know in order to use this pain scale? This regimemotivated by the need to prevent respiratory depression or to eliminate nighttime dosing. (TENS) Which of the following statements should the nurse include? Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. 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. Feedback: This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. (Select all that apply. Comparing radial . Teaching the family the theory of pain management or the use of alternative therapies and 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. A nurse is caring for two client who are 2 hr postoperative following the same procedure. ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. In those situations, neurologic ancologic andd 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. C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. You are part of the health care team caring for an 87-year-old woman who has been admittedrehabilitation facility after falling and fracturing her left hip. A) Chronic $78+$50+$95\$78 + \$50 + \$95 Opioid tochronic pain treatment and would not likely apply to these patients. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. 12 Test Bank, Marketing Reading-Framework for Marketing Strategy Formation, PSY HW#3 - Homework on habituation, secure and insecure attachment and the stage theory. 8. Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. B) Autonomy and need Ans: D At the given value of x, find (c) the rate of change of y, (d) the relative rate of change of y, and (e) the percentage rate of change of y. y = f(x) = 9 - 5x; x = 3. Check the IV sit and PCA pump for proper functioning. (Select all that apply. ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife What is thee nurse why he has had Dependence is not a concept used to develop a nurscare, and health is too broad a concept to use as a basis for a nursing plan of care. A transmission 3 Q Consider each client's cultural preferences. Overdose is not an inevitable risk. One way preventive pain measures can be implemented is by using PRN medications on a more reor scheduled basis to allow for more uniform pain control. Which of the following tasks should the nursedelegate to an assistive personnel?a. B) Placebos are an acceptable, but unconventional, form of nonpharmacological pain management. Giving the patient alternative methods to control pain is good, but it will not work if the b. ask the following questions: Where are you when the symptoms occur? A) Intravenous analgesia Chronic pain istreatable. Are you currently taking any prescription, herbal, or over-the-counter medications? 4) identify the cause of sedation Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. 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 . The patient has developed a tolerance to her usual paine has been joint A client who has diabetes mellitus and reports bilateral burning foot pain without signs of injury, A nurse is discussing end-of-life pain management with a group of coworkers. Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. D) Osteopenic Last year a new car sold for $24,950. Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards 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 . Low levels of pain are easier to reduce or control than intense levels of pain. Drug interactions are more likely to occur in older adults because of the higher incidence of chronic illness and the increased use of prescription and OTC medications. Meditation is one of the recognized mind-body methods of nonpharmacological pain control. Chronic pain is constant or intermittent pain that persistste pain Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. "What does your pain feel like?" *Assess the quality of the client's pain by asking him to describe how it feels. 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) Feedback: before he got cancer because he broke his back about 20 years ago. How should the nurse best respond to this assessment finding? Which of the following pain management protocols should the nurse use when caring for this client? The other options are all good answers for this patient because of the patients age and disease process. However, this is not true for many people. Because elderly people have a slowermetabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of View All Products Facebook Question of the Week A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. 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 . Use this information to find the patient's cardiac output. This requires the ability to perform self-care activities in aion, Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. An admission essay, for example, from a premium writer will definitely get you into any college despite the toughness of the . 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: D A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. HOW? RN ATI Capstone Proctored Comprehensive Assessment B Home > Product View Cart RN ATI Capstone Proctored Comprehensive Assessment B This assessment is a part of the ATI Capstone Package and can not be purchased separately. Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause Prescriptions containing guidelines for pain medication administration. A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. Discuss each of these separately. C) The patients allergy status guidance would not be a priority at this point and morphine is not the only medication administered byPCA. 3) fear of addiction what variables should the nurse consider? D) Case manager 12 Test Bank - Gould's Ch. nurse should consider what characteristic of cancer pain? Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. 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 This is particularly harmful in patients whose health is already compromised by age, illness, or injury. However, thnurse would be most concerned about in terms of ensuring safety. The family would also need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endanger the patient. Feedback: B) Assessment for respiratory depression pain that she rates as 8 on a 0-to-10 point scale. ", A nurse is assisting with a staff in-service regarding pain control. Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. Which of the following should the nurse expect to be the same for both patients? The client reports unbearable pain after attempting six demand doses within the last hour. 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. B. Offering spiritual as C) You may be developing a mild addiction to the drug. (ibuprofen) ordered every 6 hours. What is the worst/best the pain has been? (Select all that apply. Dependence is not a concept used to develop a nursing plan of care, and health is too broad a concept to use as a basis for a nursing plan of care. A nurse is caring for two patients of different cultural backgrounds. I will speak to the doctor about your husbands pain control. These are far-reaching statements that conjoin pain management to a general philosophy of medicine that is built upon, and defines a core epistemology (i.e., as a knowledge base, and ways of knowing), anthropology (as consideration of the factors that are involved with the conduct of pain care as a human enterprise), and ethics (as a formal, What treatment would you expect might be tried with this patient? C) Monitor for a paradoxical increase in pain with opioid administration. 5. 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. Evaluating other work options to decrease the risk of depression is a misdirected diagnosis. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adeqcontrol. b. [Show more] Preview 3 out of 26 pages ), Muscular pain Pain medication isents are medication. 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. The otherng person Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. The more experience a person has had with pain, the more frightened he or she may be about subsequent painful events. This requires the ability to perform self-care activities in a safe manner. Cross), Give Me Liberty! Chronic pain is treatable. Skills Modules 3.0. The client can identify a minty . 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. C) Oral analgesia A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. 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. The nurse is caring for a patient with metastatic bone cancer. D. Determining cost of goods manufactured. ATI has the product solution to help you become a successful nurse. Prior debilitation does not have to be present in order for stress to cause potential harm. in the Ans: A Which of the following actions should the nurse take? ", A nurse is discussing cutaneous stimulation with a client who has back pain. Where on the income statement does a company report an unusual gain not expected to occur more often than once every two years or so? Of the listed options, a language comparison chart is most plausible. Over the years, therdamage, and the patient is in chronic pain. 7) Support systems that are present and can decrease sensitivity to pain The initial assessment reveals long-term use of opioids for chronic pain. Feedback: A. (Select all that apply. A) Remind the patient that he is indeed experiencing pain. 20. Radiography reveals an ulnar fracture. Paradoxical effects are not a common phenomenon. ATI Funds EXAM 200 Questions PSY215 1-2 assignment EDUC 327 The Teacher and The School Curriculum Document The cell Anatomy and division. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. "Your family member has the right to receive effective pain management. What happens to the number of boat makers in the long run? 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. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC istory Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. 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. Which of the following should the charge nurse include? The nurse should apply heat therapy to the client's knee for how long? 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 his gender is. (Select all that apply. ATI has the product solution to help you become a successful nurse. D) To eliminate the potentially adverse effects of the opioid Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist.
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