The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. Ans: D The dose range is usuallyhigher with cancer patients. Chronic pain and acute pain are not mutually exclusive. Health promotioan important global concept for maintaining health, and exercise is an appropriate activity; however,n is Flashcards in ATI - Pain Management - 41Deck (112) Loading flashcards. Giving the patient alternative methods to control pain is good, but it will not work if the C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. b) An employer might be liable for the actions of its employee outside the scope of employment if the employer was negligent or reckless in allowing it to occur, or for other reasons. The nurse should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve pain. C) Psychosomatic processes 2) cold for inflammation A) Endorphin levels may vary between patients, affecting the perception of pain. C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. (TENS) Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. Pain medication isents are 3) explaining misconceptions about pain In some situations, especially with long-term severe intractable pain, usual pharmanonpharmacologic methods of pain relief are ineffective. B) To eliminate the need for additional medication during the night, C) To achieve better pain control than with one medication alone Feedback: B) Acute The patient asks the nurse to describe how this pain-relief method works. Use this information to find the patient's cardiac output. Feedback: [Show more] Preview 3 out of 26 pages patients advocate in obtaining additional pain relief. Using the nursing process, on which concepts should the nurse focus the patient teaching? 2) The parenteral route is best for immediate, short-term relief of acute pain. My pain feels like I'm being stabbed by a knife. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, gy of, A) Distorting the action potential that is transmitted along the A-delta (d) and C fibers care for this patient? 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. The nurse who is a member of the palliative care team is assessing a patient. The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. myofascial pain syndrome. Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. Which of the following statements by the patient refers to pain quality? Feedback: View All Products Facebook Question of the Week The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. patients care, what variables should you consider? 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. 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. Which of the following actions should the nurse take after performing a pain assessment? Which of the following actions should the nurse plan to take? A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. No research indicates that women and/or younger people need higher doses of morphine to be comfortable. A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. pain. Ans: C 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. A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. The oral route is better for chronic, nonfluctuating pain Use a pain scale specific to each client's cognitive abilities. The family member is obviously concerned. E) Prior effectiveness in relieving the pain The nurse should describe what pathophysiologic process? The. This patientght of the Ati Video Case Study Pain Management Quizlet | Best Writers. What are you doing when the symptoms occur? A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. Students also viewed Concept Map-AHI Sinus Rhythms - Exam Study Material Chronic pain is treatable. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. The nurse serves as the patients advocate in obtaining additional pain relief. Although tolerance to the drug will increase, addiction is not dose related, 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) Books You don't have any books yet. the nurse providing emotional support are important, but the family must be able to operate the pumpwell as know the side effects of the medication and strategies to manage them. answers for this patient because of the patients age and disease process. D) Neuropathy, Ans: D Little evidence indicates that patients with cancer become addicted to the opioid medications. which of the following pain Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of the People Grand Canyon University ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. D) Administer analgesics every 4 to 6 hours as ordered to control pain. C(t)={00.034(t226t+48)for0t2for2t24. 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. "Your family member has the right to receive effective pain management. 23. Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. Feedback: neurosurgical approaches to pain management may be considered. Patients requiring opioids for chronic pain, especially cancer patients, need increasipain. What teaching should the nurse do with this patient? inadequate. 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. should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? D) Use the services of a translator each time you assess the patient so you can documenpain rating. 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. The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. policy as it applies to: i. Is that required condition violated? effects of the drug, and the body does not absorb less of the drug because of the cancer. A nurse is caring for a group of clients on the pediatric unit. The oral route is better for chronic, nonfluctuating pain View All Products Page Link Facebook Question of the Week. D) Assessment for paradoxical increase in pain 4) identify the cause of sedation Feedback: based on the clients pain and doctors orders decide on what kind and how much prescripted pain medication should be administered; administer analgesic medications before the pain is severe 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) Belief that pain is an expected part of their illness Let x be the position of the movable mirror, with x = 0 when the arms have equal lengths, . NSAIDs do not act directly on the aspects of transmission, perception, or modulation of pain that are listed. 1) Anticonvulsants: carbamazepine (Tegretol) Which of the following actions should the nurse take? What is the binding energy per nucleon of the europium isotope self-care and safety are the priorities. ^{152}_{63}Eu o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. However, thnurse would be most concerned about in terms of ensuring safety. final exam review pharmacology ati flashcards quizlet. The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. Ati Leadership Quiz 1 Varience (incident) report o When a change is needed in client care Ex: Pre-op client eats before surgery and now surgery must be pushed back o Are not placed in charts o Identify situations that contribute to the occurrence of medication errors A nurse resisting change o Talk to the nurse and find out why Low staff due to "My pain feels like I'm being stabbed by a knife.". his gender is. Which of the following clients should the nurse identify as experiencing neuropathic pain? Which of the following statements by the client refers to pain quality? A) Patients gender 4. Which of the following provider prescriptions for initial pain relief should the nurse question? Compare and contrast India's oil Which of the following statements by the patient refers to pain quality? The patient is tearful,ng a 0-to- Feedback: C) Oral analgesia A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. She states, He was in pain longned 5) to prevent inadvertent overdosing, the client is the only person who should push the PCA button. ), Respiratory rate Prescriptions containing guidelines for pain medication administration. You may be worried that your teacher will know that you took an expert's assistance to . l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. You cannot usually treat pain the patient denies having if the orders are PRN onlyscenario does not indicate the present pain-management orders are not working for this patient. Older people may respond differently to pain than younger people. Which of the following medications should the nurse ensure is available in case the client develops respiratory depression? Chronic pain istreatable. What happens to the number of boat makers in the long run? It is particularly harmful in the elderly who have been injured or who are ill. 4) helping clients reduce fear and anxiety 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. Low levels of pain are easier to reduce or control than intense levels of pain. The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. er the, A) The patients electrolyte levels 2) lack of knowledge This is particularly harmful in patients whose health is already compromised by age, illness, or injury. Which of the following actions should the nurse take? The client's family asks the nurse about managing the client's pain. The nurse should monitor the client for which of the following adverse effects? beyond the expected healing time and that can seldom be attributed to a specific cause or injuPhantom pain occurs when the body experiences a loss, such as an amputation, and still feels painry. Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. gabapentin (Neurontin). 22. A) Chronic trigeminal neuralgia. Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adeqcontrol. 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. Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen 3) cancer (tumor invasion, nerve compression, bone metastases, associated infections, immobility) 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 ATI PEDIATRIC Proctored Exam (New 2020 / 2021) 1. Pain associated with cancer may be acute or chronic. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . 3) neuropathic pain is usually intense, shooting, burning, or described as "pins and needles" 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. Ans: A The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. 2) moaning, crying Ans: D Which of the following actions should the nurse take? What is the nurses most plausible rationale for underspatients different perceptions of pain? Which of the following statements by a staff member indicates an understanding of the information? ATI Leadership Management Proctored Exam (CHECK THE LAST PAGE FOR DETAIL SOLUTION) 5. negative airflow pressure (6-12 exchanges/hr) surgical mask when transporting. Acuindicates that damage or injury has occurred. C. "My pain feels like I'm being stabbed by a knife. ATI student name skill name lauren moffat pain management: priority action for dressing changes review module chapter 55 description of skill pain assessment is DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Courses You don't have any courses yet. Many small boats are made of fiberglass, which is derived from crude oil. strength and severity are "measures" of the pain. (a) What can be said about the inflation rate when the current price is less than the original price? What type of pain are you addressing when you provider vehicle 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. Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. A nurse is assessing a clients pain. "Can you point to where you are having your pain?". How does the pain affect your sleep? guidance would not be a priority at this point and morphine is not the only medication administered byPCA. The nurse should monitor the client for which of the following adverse effcets? If thesepain-relief goals need to be reassessed in collaboration with the physician. However, further education and assessment are patients, The family members will bevering a Shher daughters morphine dose that she needs to control her pain is getting higher and higher. When addressing the patients pain in her plan of nursing carat has e, the is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. Which of the following client actions is an indication that cranial nerve I is intact? 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