6. The nurse is caring for a patient with metastatic bone cancer. ATI pain challenge question - Jennifer McNeely D40511762 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 Ans: D 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. Transduction refers to the processes by which noxious stimuli, such as a surgical incisioactivate primary afferent neurons called nociceptors. 4.9/5. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. 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. patientisexaggeratingthepainbecausethepatientisthebestauthorityofhisorherexistenceofpain, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. A. Moving into a nursing home so others may care for him is an intervention that does not address the issue of pain. ATI has the product solution to help you become a successful nurse. (Select all that apply. The patients comorbid conditions will also affect care, but not a key consideration. No research indicates that women and/or people need higher doses of morphine to be comfortable. Exam 5 Chapter 43: Pain Management Quizlet Flashcards Preview 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. This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. A nurse is caring for a client who has a fractured humerus and received an opioid medication intravenously 1 hr ago for pain. 8. Click the card to flip Definition 1 / 27 Evaluate the client for pain by observing their behavior. effects of the drug, and the body does not absorb less of the drug because of the cancer. Which of the following statements should the nurse include? The familys insights do not override the patients self-report. Frequency of administration will vary widely according to numerous variables. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. "You should write down the pain interventions you use and your pain rating before and after. Changing the dressing for a client who has a stage 3 pressure injuryb. hehasbeensavinghisPRNanalgesicsuntilthepainisintensebecausehispaincontrolhasbeen. $$ At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. Test with =.05\alpha=.05=.05. with the preventive pain method when PRN medications are given around the clock. 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 She states, He was in pain longned 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. What are you doing when the symptoms occur? missing part. This principle supersedes the other listed statements. 2) Elevation of edematous extremities to promote venous return and decrease swelling, Pharmacological Interventions: Analgesics, are the mainstay for relieving pain. pain that she rates as 8 on a 0-to-10 point scale. Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. C. "My pain feels like I'm being stabbed by a knife. Skills Modules - for Educators | ATI 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. Feedback: problematic. Neuroplasticity is the ability of the peripheral and central nervous systems to change both structure and function as a result of noxious stimuli; this does not likely contribute to the patients pain. Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. A nurse is caring for two patients of different cultural backgrounds. Acute pain is usually of recent onset and commonly associated with a specific injury. 22. 5) Prior experiences, which can increase or decrease sensitivity depending on whether clients obtained adequate relief Feedback: Creating autonomy is important, but need is a poorly defined concept. Which of the following client actions is an indication that cranial nerve I is intact? It is particularly harmful in the elderly who have been injured or who are ill. Test. nurse should consider what characteristic of cancer pain? 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 However, thnurse would be most concerned about in terms of ensuring safety. A) Intravenous analgesia Medication should begin at a low dose and slowly increase until the pain is managed. During a pain assessment, a nurse asks questions about the quality of an adult patient's 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 Feedback: A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- What is thee nurse why he has had Ans: B A broad definition of pain is whatever the person says it is, existing whenever the experiencing person says it does. Ati Video Case Study Pain Management Quizlet The client's report of pain is the most reliable diagnostic measure of pain. Ask the following questions: How much pain do you have now? Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. b. Determine the effectiveness of nonpharmacological strategies. 7) diagnostic or treatment procedures (injection, intubation, radiation), Factors that affect the pain experience include the following, 1) Age: infants cannot verbalize or understand their pain, older adult clients may have multiple pathologies that cause pain and limit function 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. Which of the following statements by the patient refers to pain quality? Self-report using standardized pain scales is useful for clients over the age of 7 years. 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 Both patients returned from the same type of surgery 2 hr ago. 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. Feedback: The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? Much pain associated with cancer is a direct result of tumor involvement. Pain Management Nurse Exam Sample Questions | ANA D) Administer analgesics every 4 to 6 hours as ordered to control pain. strength and severity are "measures" of the pain. Which of the following actions should the nurse take after performing a pain assessment? What happens to the number of boat makers in the long run? 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 Ask "What does the pain feel like?" Shher daughters morphine dose that she needs to control her pain is getting higher and higher. A) Transduction A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. C) Team leader E. Use of a single Work in Process Inventory account. ^ { 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 } 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. Offering spiritual guidance would not be a priority at this point and morphine is not the only medication administered by PCA. In which way should the nurse categorize this client's pain? ATI Med Surg test questions Pain Management 100% Correct - Stuvia During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Electrolyte values, blood pressure, and hydration status are should assess for any not what you Ans: B The RAEX LASER brand was replaced by "Ruuki Laser" workshop-friendly steel. ATI Testing | Nursing Education | NCLEX Exam Review | TEAS Testing ATI RN Capstone Proctored Comprehensive Assessment 2019 B ATI 2019 $ 11.00 Add to cart ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM . Determining a client's response to a diureticc. The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain.