. that accompany the procedure. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. care for this patient? Click the card to flip Feedback: The nurse should include that heat therapy is effective for which of the following conditions? If PCA is to be used in the patients home, the patient and family are taught about the operatiopump as well as the side effects of the medication and strategies to manage them. aspects of transmission, perception, or modulation of pain that are listed. Which of the following factors should the nurse expect to be similar for both clients? A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. When creating a nursing care plan for this patient,tted for the Notes payable are currently $7 million. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. B) Autonomy and need its three formsweak, semistrong, and strongand briefly discuss the degree to ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back 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 b. 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. What teaching should the nurse do with this patient? ATI Pain Management Posttest Flashcards | Quizlet ATI Pain Management Posttest 5.0 (2 reviews) Term 1 / 7 A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Which of the following should the nurse know in order to use this pain scale? 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. 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. It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. for ati pain management flashcards on Quizlet. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. When addressing the patients pain in her plan of nursing carat has e, the c. Briefly explain the roles or responsibilities of portfolio managers in an efficient When asked, the patient rates his pain as a 2 at this time usiomy. Teaching the family the theory of pain management or the use of alternative therapies and Self-report using standardized pain scales is useful for clients over the age of 7 years. ATI has the product solution to help you become a successful nurse. Meditation is one of the recognized mind-body methods of nonpharmacological pain control. The VAS requires English language skills, even though it is visual. D) The patient will likely benefit more from distraction than pharmacologic interventions. onale for. Further teaching may need to be done so the patient can correctly rate the pain. Ati Video Case Study Pain Management Quizlet | Best Writers. 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. 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. You may be worried that your teacher will know that you took an expert's assistance to . C(t)={00.034(t226t+48)for0t2for2t24. Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? B) Placebos are an acceptable, but unconventional, form of nonpharmacological pain management. Which of the following should the nurse include as barriers to end-of life pain management? 3) explaining misconceptions about pain A comparably equipped car sells this year for$22,500. The oral route is better for chronic, nonfluctuating pain 14. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy Ati Testing Pain Management Answers Slibforyou As recognized, adventure as skillfully as experience just about lesson, amusement, as competently as understanding can be gotten by just checking out a books Ati Testing Pain . Belief that pain is an expected part of their illness Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Discuss each of these separately. 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? B) Transmission, C) Perception The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Feedback: The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. The client's report of pain is the most reliable diagnostic measure of pain. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. 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 Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. indication that the patients medication will be discontinued. ", A nurse is discussing the use of heat therapy with a newly licensed nurse. A nurse is reviewing information for several clients on the unit. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. A nurse is about to use the Wong-Baker FACES pain level. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. familys insights do not override the patients self-report. Of the listed options, a language comparison chart is most plausible. The nurse is assessing a patients pain while the patient awaits a cholecystecthesitant to move, and grimacing. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. D) Intramuscular analgesia Click the card to flip Definition 1 / 7 FACES Click the card to flip Flashcards Nurses should understand the effects of chronic pain on patients and families and should beknowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. 5) to prevent inadvertent overdosing, the client is the only person who should push the PCA button. Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. Which of the following actions should the nurse plan to take? 1035 Natoma Street, San Francisco. Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. The nurse should monitor the client for which of the following adverse effcets? Feedback: This patientght of the 3) Tricyclic antidepressants: amitriptyline (Elavil) A nurse is evaluating a group of clients who are experiencing pain. Feedback: What treatment would you expect might be tried with this patient? C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine Medication should begin at a low dose and slowly increase until the pain is managed. Opioid tolerance is associated with chronic pain treatment and would not likely apply to these patients. 2) moaning, crying D) Administer analgesics every 4 to 6 hours as ordered to control pain. A nurse is caring for a client who has kidney stones. Which of the following is a pain management protocol that should be used by the nurse in this situation? The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain Cancert/family Determine whether the given pairs of triangles are similar or not, and explain how you know. ^ { 152 } _{63} \mathrm { Eu } \quad 151.921742\ \mathrm { u } \quad ^ {1} \mathrm { H } \quad 1.007825\ \mathrm { u }\\ \quad \mathrm { n } \quad 1.008665\ \mathrm { u } 4) identify the cause of sedation Ans: C C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. Anxiety is also plausible, but depression is a paramount risk. C) The influence of the patients cognition on her pain The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. Which of the following provider prescriptions for initial pain relief should the nurse question? At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. B) We need to provide pain medications because it is the law, and we must always follow the law. 39. 7) Support systems that are present and can decrease sensitivity to pain HOW? You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. What is your priority assessment? This scale is useful for adult patients who have cognitive impairments. What is the primary ratiadministering pain medication in this manner? Write an expression for the intensity of the observed light as a function of x, letting. NSAIDs do not act directly on the aspects of transmission, perception, or modulation of pain that are listed. ), ATI Fluid, Electrolyte, and Acid-Base Regulat, Maternal Newborn ATI Contraception/Infertility, Julie S Snyder, Linda Lilley, Shelly Collins. Can the read and write methods in the Buffer class be executed concurrently? Feedback: The elderly often require lower doses of medication and are easily confused with new medications. An admission essay, for example, from a premium writer will definitely get you into any college despite the toughness of the . self-care and safety are the priorities. 61 Comments Please sign inor registerto post comments. Level: College, High School, University, Master's, PHD, Undergraduate. b. A. Which of the following methods should the nurse include? Feedback: Which of the following statements by the client indicates an understanding of the instructions? After assessing the client's pain, which of the following actions should the nurse take? 1) Anticonvulsants: carbamazepine (Tegretol) 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. Feedback: Books You don't have any books yet. 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. The patient asks does it still feel like my leg is attached, and why does it still hurt? Which of the following manifestations is an objective indicator of pain? Click the card to flip Definition 1 / 7 $$. The other options are all good answers for this patient because of the patients age and disease process. A) Endorphin levels may vary between patients, affecting the perception of pain. (Select all that apply. guidance would not be a priority at this point and morphine is not the only medication administered byPCA. ent is, A) Pain often comes and goes with postsurgical patients. policy as it applies to: i. Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. Is it constant or intermittent? 4) monitor for bleeding with long-term NSAID use, Pharmacological Interventions: Opioid analgesics, such as morphine sulfate, fentanyl (Sublimaze), and codeine, are appropriate for treating moderate to sever pain (postoperative pain, myocardial infarction pain, cancer pain), 1) Managing acute severe pain with short-term (24-48 hr) around-the-clock administration of opioids is preferable to following a PRN schedule A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN. Which of the following should the nurse expect to be the same for both patients? Different people feel different degrees of pain from similar stimuli. what variables should the nurse consider? Feedback: The wife of a patient you are caring for asks to speak with you. A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. The family members will bevering a View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. Ans: D you best apply? Which of the following pain management protocols should the nurse use when caring for this client? Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. Low levels of pain are easier to reduce or control than intense levels of pain. $78+$50+$95\$78 + \$50 + \$95 Feedback: ATI - Comprehensive Physical Assessment of an Adult Pretest. If the intervention was ineffective, the nurse should consider other measures. ), "You can be taught how to use TENS therapy at home. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. The latest version of DSM is considered to be the Feedback: What would be the nurses best response? 3) Consistent timing and dosing of opioid administration provide consistent pain control A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. 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. D) Changes in neurologic function due to the procedure 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) epidural catheter may be effective. 4) clients who have substance use disorder, Causes of acute and chronic pain include the following, 1) trauma 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. appropriate. 5) fibromyalgia Assume this is the true population proportion and that you plan to take a sample survey of 540 American adults to further investigate their behavior. Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. A) Patients gender 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 . C. This scale is useful for adult patients who have cognitive impairments. patients advocate in obtaining additional pain relief. definitive guide to defining psychological disorders. Cross), Give Me Liberty! The client's family asks the nurse about managing the client's pain. The client reports taking an opioid prescription for chronic pain. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. Feedback: How should you most accurately assess this patients pain? The nurse who is a member of the palliative care team is assessing a patient. View All Products Page Link Facebook Question of the Week. D. Have an opioid antagonist available during the administration. so others may care for him is an intervention that does not address the issue of pain. Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. concerned. ATI-FUNDAMENTALS-2019-PROCTORED-EXAM-FUNDAMENTALS-PROCTORED-EXAMATI Fundamentals 2019 Proctored Exam |Fundamentals Proctored ExamA nurse is planning care for a group of clients. B) Pain medication can be increased when the pain becomes intense. A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. Patients do not become immune to the effects of the drug, and the body does not absorb less of the drug because of the cancer. "Justice allows the client the opportunity to be treated fairly.". My pain feels like I'm being stabbed by a knife. The dose range is usually higher with cancer patients. A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. $78+$50+$95. This exquisite Edwardian single-family house has a 1344 Sqft main. Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. Which of the following actions should the nurse take after performing a pain assessment? er the, A) The patients electrolyte levels gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief The other options are all goodof chronic The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. How should the nurse best respond to this assessment finding? Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. "You should write down the pain interventions you use and your pain rating before and after. tanding the 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. (Select all that apply. This requires the ability to perform self-care activities in a safe manner. No research indicates that women and/or people need higher doses of morphine to be comfortable. A nurse is providing end-of-life care for a client who is unresponsive and near death. C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. A nurse provides a client with the opportunity to take an intramuscular injection or oral medication for pain relief. Nowhere in the scenario does it indicate the patient is upsetsult in D) Its not unusual for patients to misreport pain to get our attention when we are busy. Much pain associated with cancer is a direct result of tumor involvement. Ans: A 2) cold for inflammation 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. Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. accurate, Your patient is 12-hours post ORIF right ankle. Using the nursing process, on which concepts should the nurse focus the patient teaching? For patients who have persistent, severe pain that fails to respond to other treatmentsrelief only with the risk of serious side effects, medication administered by a long-term intrathecal or or who obtain pain A nurse is caring for two client who are 2 hr postoperative following the same procedure. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. D) Your body absorbs less of the drug due to the cancer. C) The patients allergy status It takes less medication to prevent pain than to treat pain. A Which of the following statements should the nurse make to the client's family? Feedback: 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 View All Products Facebook Question of the Week Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. 2) Fatigue, which can increase sensitivity to pain 2) clients have less lag time between identified need and delivery of medication, which increases their sense of control and may decrease the amount of medication they need A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. the nurse should teach the patient which of the following? y little I will speak to the doctor about your husbands pain control. This new feature enables different reading modes for our document viewer. Ask "What does the pain feel like?" management. A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. 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. 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.