Chronic pain is constant or intermittent pain that persists beyond the expected healing time and that can seldom be attributed to a specific cause or injury. 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief 39. Ans: C Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. ), Transcutaneous electronic stimulating unit (TENS unit). Which of the following findings indicate an increased level of discomfort? C) You may be developing a mild addiction to the drug. the nurse should teach the patient which of the following? Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. B) We need to provide pain medications because it is the law, and we must always follow the law. 4) helping clients reduce fear and anxiety B) Transmission, C) Perception 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) However, they are not what the nurse would be most concerned about in terms of ensuring safety. With regard to the actions of employees outside the scope of employment, which of the following statements is true? Pain tolerance is the amount of pain a person is willing to bear. Further teaching may need to be done so the patient can correctly rate the pain. A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. 14. ey are not what the, You are caring for a patient with sickle cell disease in her home. Pain medication isents are This patient does not have an adthe familys concerns are secondary to those of the patient. Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. The patient has developed a tolerance to her usual paine has been joint The questions from the ATI Pain Management lesson ati pain management pretest nurse is preparing to assess the pain level of child. C) Oral analgesia ATI RN Capstone Proctored Comprehensive Assessment 2019 B ATI 2019 $ 11.00 Add to cart ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM . ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. 4.9/5. 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. Which of the following medications should the nurse ensure is available in case the client develops respiratory depression? This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. D) Administer analgesics every 4 to 6 hours as ordered to control pain. Have an opioid antagonist available during the administration. (Select all that apply. Neuropathic pain is not a result of age-related changes, nociceptor proliferation, or dependence on medications. Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. Feedback: 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. Ans: B Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Acuindicates that damage or injury has occurred. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. D) Drug interactions 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. NSAIDs do not act directly on the aspects of transmission, perception, or modulation of pain that are listed. Pain resulting from cancer is so ubiquitous that when cancer patients are asked about possible outcomes, pain is reported to be the most feared outcome. Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause 5) Glucocorticoids: dexamethasone (Decadron) What happens to the number of boat makers in the long run? Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. 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 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. Although all answers are correct, the mostconclusion would be to reinforce teaching about the pain scale. "Can you point to where you are having your pain?". Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. Compare and contrast India's oil strength and severity are "measures" of the pain. Belief that pain is an expected part of their illness Which of the following provider prescriptions for initial pain relief should the nurse question? Ans: B, C, D, E Low levels of pain are easier to reduce or control than intense levels of pain. In lints chart. It affects only those patients who are already debilitated prior to experiencing pain. When addressing the patients pain in her plan of nursing carat has e, the level of 3 to 4 on the same pain scale. A. Pain associated with cancer may be acute or chronic. C) When having to report the patients addiction to her physician you best apply? Oxygen saturation. The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. Each quiz which nursing fundamentals study of quizlet learn ati teas v tests require you can to practice test day filled with? 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 Check the IV site and PCA pump for proper functioning. A nurse is reviewing information for several clients on the unit. C) Cancer is a chronic kind of pain so the more it hurts the patient, the more medicine we givpatient until it no longer hurts. Check the IV site and PCA pump for proper functioning. The client's report of pain is the most reliable diagnostic measure of pain. pain can be either acute or chronic, and you do not tell a family member that you are going to keepincreasing the dosage of the medication until it doesnt hurt anymore. As a result,e states that Is that required condition violated? ANSWER: My pain feels like I'm being stabbed by a knife ANSWER : My pain feels like I 'm being stabbed by a knife This patientght of the 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. the, A) Neuroplasticity C) Psychosomatic processes The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. Which of the following statements should the nurse make to the client's family? 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. Opioids are not absolutely contraindicated and confusion following surgery is never normal. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. Culture It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. 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. Which of the following statements by the client indicates an understanding of the instructions? D) Administer an analgesic and then reassess. 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. a) An employer can never be liable for the actions of its employee outside the scope of employment. A) How the presence of pain affects patients and families Ans: C Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. with the preventive pain method when PRN medications are given around the clock. The family member is obviously concerned. For that problem, though, his painmedicine wasnt just raised and raised. 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 used to prevent pain so pain medication is not increased when pain becomes intense. 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. Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. You cannot usually treat pain the patient denies having if the orders are PRN only. Distorting the action potential that is transmitted along the A-delta (d) and C fibers. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. Transmission, perception, and modulation aren or burn, 2) eventually, increase in vital signs will stabilize despite the persistence of 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 Dr. Rebecca Hawkins, PHD - Reviews - Denver, CO This 25-item . 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. missing part. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. 18. D) Dependence and health The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. The nurse educates the mother about whher pain management? The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. 22. B) Provide psychosocial family support during this emotional experience. ? $$. D) The patients hydration status Opioid tolerance is associated with chronic pain treatment and would not likely apply to these patients. Discuss each of these separately. A) I didnt know that. C) Check for allergies, use a pain scale to assess the patients pain, and offer the ibhours until the patient is discharged. Ans: A, B, D 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. Please ask her about pain again inminutes. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. The other answers are incorrect. What is the nurses most plausible rationale for underspatients different perceptions of pain? Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) Which of the following statements by the patient refers to pain quality? a. What is the nurses best response? Which of the following is a pain management protocol that should be used by the nurse in this situation? "I will keep the morphine bottle in a locked cabinet in my kitchen. Feedback: Ans: C Which of the following statements by the patient refers to pain quality? 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. Chronic pain is treatable. Mansfield Corporation had 20X1 sales of $100 million. 3) Consistent timing and dosing of opioid administration provide consistent pain control C) Health promotion and exercise 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. Which of the following pain assessment tools should the nurse use? 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 Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, inadequate.Whatteachingshouldthenursedowiththispatient? 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain A broad definition of pain is whatever the person says it is, existing whenever the experiencing person says it does. The nurse who is a member of the palliative care team is assessing a patient. 3) older adults The nurse who is a member of the palliative care team is assessing a patient. A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. What treatment would you expect might be tried with this patient? RN ATI capstone proctored comprehensive assessment 2019 B . ID 4817 Quick Delivery from THREE hours 2) Elevation of edematous extremities to promote venous return and decrease swelling, Pharmacological Interventions: Analgesics, are the mainstay for relieving pain. ATI Proctored Comprehensive B 15 Hour Exam 80 Benchmark 653 On Your Screen Ati proctored comprehensive b 15 hour exam 80 School Bryant and Stratton College, Milwaukee Course Title NURS 301 Uploaded By b00543232 Pages 28 Ratings 80% (5) This preview shows page 7 - 9 out of 28 pages. (Select all that apply. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. . 2) children The patient will be at home monitoring his own pain management, administering his own medication, and monitoring and reporting side effects. 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). 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. Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. safe manner. ", A nurse is assisting with a staff in-service regarding pain control. 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. n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. Use a pain scale specific to each client's cognitive abilities. Ans: D How does the pain affect your sleep? B) When dealing with withdrawal symptoms resulting from the tolerance (PCA) pump. The nurse is caring for a patient with metastatic bone cancer. The nurse should not assume the patient is exaggerating the pain because the patient is the best authority of his or her existence of pain, and definitions for pain state that pain is whatever the person says it is, existing whenever the experiencing person says it does. Preview text. ), Muscular pain Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? The nurse should describe what pathophysiologic process? The nurse should monitor the client for which of the following adverse effects? 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. During a pain assessment, a nurse asks questions about the quality of an adult clients pain. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) 4) clients should let the nurse know if using the pump does not control the pain The patient asks the nurse to describe how this pain-relief method works. A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. Which of the following actions should the nurse take after performing a pain assessment? D) To eliminate the potentially adverse effects of the opioid Similarly, psychosomatic factors and misperception of pain are highly unlikely. Using diagrams, show what happens to the cost curves of an individual boat-making firm and to the market supply curve. 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 . 2) Antianxiety agents: diazepam (Valium) b. Over the years, therdamage, and the patient is in chronic pain. She tells you that she is concerbecause her husband is requiring increasingly high doses of analgesia. The nurse should monitor the client for which of the following adverse effcets? A) Self-care and safety diction and, You are admitting a patient to your rehabilitation unit who has a diagnosis of persistent, sevAccording to the patients history, the patients pain has not responded to conventional approaches to painere pain. Ans: A View All Products Facebook Question of the Week Which of the following statements by a staff member indicates an understanding of the information? 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. 4) arthritis Ask "What does the pain feel like?" Pain Management ATI Flashcards | Quizlet Pain Management ATI 5.0 (8 reviews) Term 1 / 7 A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. 47 Care of the patient with a cardiovascu, Chapter 11 Pain Management Prep U 40 questions. A nurse is caring for a client who reports muscle pain to the lower back that has persisted for over a year after a motor-vehicle crash. B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. definitive guide to defining psychological disorders. The services we provide are not prohibited by any Ati Video Case Study Pain Management Quizlet colleges or universities and are LEGAL. What is the possibility that your survey will provide a sample proportion within .03\pm .03.03 of the population proportion? C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. Moving into a nursing homeic when a patient is in intractable ing plan of. should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? D) Changes in neurologic function due to the procedure Which of the following methods should the nurse include? Action should be taken unless there are demonstrable extenuating circumstances. (Select all that apply. 1. Because elderly people have a slowermetabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of The nursing care of patients who undergo procedures for the relief of chronic pain depends on the type of procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function that accompany the procedure. Find the net cost (invoice amount) for the following. Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. ATI has the product solution to help you become a successful nurse. Which of the following client actions is an indication that cranial nerve I is intact? care for this patient? Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Wellness & Self-Care. $$ The nurse 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. C) The patients are likely experiencing a variance in vasoconstriction. Ans: B Which of the following responses should the nurse take? Which of the following statements should the nurse include? The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. C) Monitor for a paradoxical increase in pain with opioid administration. management. "Biofeedback measures skin tension and uses learned techniques to relieve pain.". Capnography The family member is obviously Determine whether the given pairs of triangles are similar or not, and explain how you know. 3) stop the opioid and give the antagonist naloxone (Narcan) if respiratory rate is below 8/min and shallow, or the client is difficult to arouse Feedback: Older people may respond differently to pain than younger people. answers are incorrect. Cancert/family Explain. 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. a. Depression is associated with chronic pain and can be exacerbated by the effects of chronic fatigue. In those situations, neurologic ancologic andd A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. Ans: A (Select all that apply. D) Provide medication as per patient request and offer relaxation techniques to promote comfort. "You should write down the pain interventions you use and your pain rating before and after. Teaching the family the theory of pain management or the use of alternative therapies and The patients comorbid conditions will also affect care, but not a key consideration. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. so others may care for him is an intervention that does not address the issue of pain. Asking the patient to write similarly requires the use of English. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? All the jeopardy - 89 cards; Allergic Response in the OR - 43 cards; CCTC NUR 101 Chap 35 Nursing Fundamentals Pain - 41 cards; CCTN exam review - 24 cards; CDC Final II Gout - 16 cards; CDC Final II Low Back Pain . analgesic agents may be sufficient to relieve pain, and these doses may be effective corresponds to an increased risk of adverse effects. A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. In general, adverse effects are minimal. pain that she rates as 8 on a 0-to-10 point scale. nonsteroidal anti-inflammatory drug (NSAID) given together. C) Placebos are never recommended in the treatment of pain. Offering spiritual as The nursing care of patients who undergo procedures for the relief of chronic pain depends on the typeof procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function

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