Connecting Power To Vacant Land Qld, Hidden Gems In Philadelphia, Articles A

Feedback: However, they are not what the nurse would be most concerned about in terms of ensuring safety. How should you most accurately assess this patients pain? 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. 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 Little evidence indicates that patients with cancer become addicted to the opioid medications. C) Unless there is strong evidence to the contrary, we should take the patients report at face value. The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. Modulation occurs in the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli. (Select all that apply. 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. C) Use the Visual Analog Scale (VAS). Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. Give more than two choices. Drug interactions are more likely to occur in older adults because of the higher incidence illness and the increased use of prescription and OTC medications. 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. Older people may respond differently to pain than younger people. Feedback: tanding the production and consumption in 2000and in 2010. Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. It is particularly harmful in the elderly who have been injured or who are ill. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. Feedback: 2) carefully titrate doses while closely monitoring respiratory status D) Administer analgesics every 4 to 6 hours as ordered to control pain. Ask the following questions: How much pain do you have now? Although all answers are correct, the mostconclusion would be to reinforce teaching about the pain scale. C) Psychosomatic processes Moving into a nursing homeic when a patient is in intractable The nurse should monitor the client for which of the following adverse effcets? ATI PEDIATRIC Proctored Exam (New 2020 / 2021) 1. Which of the following should the nurse expect to be the same for both patients? What is the physiologic process by which noxious stimuli, such as burns, activate nociceptors? The pain-medication orders are written as a combination of an opioid analgesic and a Which of the following pain assessment tools should the nurse use? inadequate.Whatteachingshouldthenursedowiththispatient? Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. 32. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse. 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. 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 should reply that biofeedback involves, A. measuring skin tension and using learned techniques to relieve pain. If PCA is to be used in the patients home, the patient and family are taught about the operation of the pump as well as the side effects of the medication and strategies to manage them. When asked, the patient rates his pain as a 2 at this time usiomy. This principle supersedes the other listed statements. However, this is not true for many people. It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. Which of the following actions should the nurse take? Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. 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? (Select all that apply. 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain 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 . ent is, A) Pain often comes and goes with postsurgical patients. D) Chronic pain can cause intense emotional responses. its three formsweak, semistrong, and strongand briefly discuss the degree to B. Identifiable units of production. A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. patientisreportingpainof8to9ona0-to-10painscale,whereastheotherpatientisreportingapain, levelof3to4onthesamepainscale.Whatisthenursesmostplausiblerationaleforunderstandingthe, Differentpeoplefeeldifferentdegreesofpainfromsimilarstimuli.Opioidtoleranceisassociatedwith, chronicpaintreatmentandwouldnotlikelyapplytothesepatients.Thenurseshouldnotassumethe. answers are incorrect. The nurse who is a member of the palliative care team is assessing a patient. Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. ask the following questions: What makes the pain better? terms that are accessible to the patient. Which of the following statements by the client indicates an understanding of the instructions? Creating autonomy is important, but need is a poorly defined concept. Smaller drug doses of medication are neededgular When addressing the patients pain in her plan of nursing carat has e, the Feedback: C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine Patients do not become imm indicates thatune to the What happens to the number of boat makers in the long run? Which of the following actions should the nurse take? Which of the following statements should the nurse include? 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. n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. indication that the patients medication will be discontinued. 3) cancer (tumor invasion, nerve compression, bone metastases, associated infections, immobility) 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 patient is physically exhibiting signs and symptoms of pain. D) Changes in neurologic function due to the procedure The patient The patient asks does it still feel like my leg is attached, and why does it still hurt? Osteopenic pain is not a recognized category of pain. RN ATI capstone proctored comprehensive assessment 2019 B . Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. 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. A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. Which of the following actions should the nurse take? 22. A) The dose range is higher with cancer patients, and the medical team will be very caraddiction. B) Transmission, C) Perception Offering spiritual guidance would not be a priority at this point and morphine is not the only medication administered by PCA. is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. How often does it occur? Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. Opioid tochronic pain treatment and would not likely apply to these patients. hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen Different people feel different degrees of pain from similar stimuli. Chronic pain is constant or intermittent pain that persistste pain B. a. 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . Ans: C Preview text. A nurse is caring for a client who has kidney stones. (Select all that apply. ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. Each samples productivity data are required to be normally distributed. gabapentin (Neurontin). 2) cold for inflammation Find the net cost (invoice amount) for the following. Acute pain is usually of recent onset and commonly associated with a specific injury. The latest version of DSM is considered to be the er the, A) The patients electrolyte levels Which of the following should the nurse include as barriers to end-of life pain management? a. A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. This requires the ability to perform self-care activities in a safe manner. taking care of the patient. (pq)(pq)(p\rightarrow \neg q)\land(p\land q) e the, D) Does the increasing medication dosage concern you? Ans: C Which of the following statements by the patient refers to pain quality? 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, Overdose is not an inevitable risk. Skin breakdown and hallucinations are much less likely. What principle should guide the nurses use of placebusing placebos in theos in Ch 12 - Test bank - Chapter 12: Pain Management The nurse who is a member of the palliative care - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. C. Equivalent units of production. There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. his gender is. Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause C) Check for allergies, use a pain scale to assess the patients pain, and offer the ibhours until the patient is discharged. 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 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. "Can you point to where you are having your pain?". A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain.