2) Fatigue, which can increase sensitivity to pain 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. what variables should the nurse consider? Ans: A The pain-medication orders are written as a combination of an opioid analgesic and a What type of pain are you addressing when you provider vehicle Each quiz which nursing fundamentals study of quizlet learn ati teas v tests require you can to practice test day filled with? Which of the following questions should the nurse ask the client to assess the quality of the pain? B) Patients comorbid conditions What teaching should the nurse do with this patient? ), A 3-year-old toddler who has a fractured femur, A nurse is assessing a client who is nonverbal for the presence of pain. Cancer pain is not treated with anti-anxiety medications. 1035 Natoma Street, San Francisco. 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . Which of the following responses should the nurse take? D) The patient may want to relocate to long-term care in order to have his ADL needs met. Although tolerance to the drug will increase, addiction is not dose related, Which of the following pain assessment tools should the nurse use? Chronic pain is treatable. 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. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, C) It is difficult to control chronic pain, so this is an inevitable part of the disease process. tanding the C) Psychosomatic processes C) Type of procedure be performed Transmission, perception, and modulation are subsequent to this process. B) Chronic illness Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. B) Monitor for an increase in absorption of the drug due to age-related changes. Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. Perception or awareness of pain occurs in various areas of the brain, with influences from though and emotional processes. A) Teach the family the theory of pain management and the use of alternative therapies. 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. C) You may be developing a mild addiction to the drug. Fifteen minutes after receiving the dose, the client reports to the nurse their pain is still a 7 and has not changed. (TENS) Which of the following statements by a staff member indicates an understanding of the information? Chronic pain is constant or intermittent pain that persistste pain A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. Skin breakdown and hallucinations are much less likely. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. Which of the following actions should the nurse plan to take to evaluate the clients' pain control? A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. Chronic pain istreatable. The nurse explains neuropathic pain inwhy. 4) identify the cause of sedation View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. (Select all that apply. 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain D) Changes in neurologic function due to the procedure 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) However, this is not true for many people. patients care, what variables should you consider? 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 . but is a separate psychological dependency issue. Which of the following questions should the nurse ask the client to assess the quality of the pain? A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. Feedback: ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. Teaching the family the theory of pain management or the use of alternative therapies and the nurse providing emotional support are important, but the family must be able to operate the pump as well as know the side effects of the medication and strategies to manage them. This is particularly harmful in patients whose health is already compromised by age, illness, or injury. Is that required condition violated? C) When having to report the patients addiction to her physician A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. appropriate. C) Placebos are never recommended in the treatment of pain. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. The oral route is better for chronic, nonfluctuating pain A multimodal regimen combines drugs with different underlying mechanisms, which allows of each of the drugs in the treatment plan, reducing the potential for each to produce adverse efflower dosesects. In which way should the nurse categorize this client's pain? Frequency of administration will vary widely according to numerous variables. 14. The nurse serves as the patients advocate in obtaining additional pain relief. Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. D) Intramuscular analgesia is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. 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. Both patients returned from the same type of surgery 2 hours ago. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. b. Ans: B ATI Funds EXAM 200 Questions PSY215 1-2 assignment EDUC 327 The Teacher and The School Curriculum Document The cell Anatomy and division. A) Self-care and safety subsequent to this process. Which of the following characteristics applies to process costing but not to job order cost accounting? The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. 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. C) Reassess the patients pain in 30 minutes. ATI Real Life RN Medical Surgical 3.0 - Kidne, Information Technology Project Management: Providing Measurable Organizational Value, Service Management: Operations, Strategy, and Information Technology, Operations Management: Sustainability and Supply Chain Management. Feedback: 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. Moving into a nursing homeic when a patient is in intractable Betterpaincontrolcanbeachievedwithapreventiveapproach,reducingtheamountoftimepatientsare, inpain.Lowlevelsofpainareeasiertoreduceorcontrolthanintenselevelsofpain.Painmedicationis, usedtopreventpainsopainmedicationisnotincreasedwhenpainbecomesintense.Chronicpainis, treatable.Givingthepatientalternativemethodstocontrolpainisgood,butitwillnotworkifthe. C(t)={00.034(t226t+48)for0t2for2t24. In those situations, neurologic ancologic andd Which of the following categories should the nurse include? (b) What is the deflation rate? Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. Similarly, psychosomatic factors and misperception of pain are highly unlikely. Different people feel different degrees of pain from similar stimuli. Which of the following examples should the nurse include as an example of autonomy? Ans: B 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. An admission essay, for example, from a premium writer will definitely get you into any college despite the toughness of the . The dose range is usually higher with cancer patients. B) Acute $78+$50+$95. Because elderly people have a slowermetabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of 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. Round to the nearest cent. Oxygen saturation. 8) Culture, which may influence how clients express pain or the meaning they give to pain, is whatever the person experiencing it says it is, and it exists whenever the person says it does, use anatomical terminology and landmarks to describe location "Where is your pain? The client can identify a minty . Construct a truth table for the proposition and determine whether the proposition is a contingency, tautology, or contradiction. Older people may respond differently to pain than younger people. Which of the following is a pain management protocol that should be used by the nurse in this situation? 3) explaining misconceptions about pain c. Briefly explain the roles or responsibilities of portfolio managers in an efficient 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. A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" between acute, A patient is experiencing severe pain after suffering an electrical burn in a workplanurse is applying knowledge of the pathophysiology of pain when planning this patients nursing care accident. 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. A) Intravenous analgesia (Select all that apply. Determine what type of precaution should be set for the following disease: wound infections. The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. D) Placebos require the active participation of the patients family. 3) neuropathic pain is usually intense, shooting, burning, or described as "pins and needles" The patients comorbid conditions will also affect care, but not a key consideration. Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. care for this patient? Much pain associated with cancer is a direct result of tumor involvement. Indications -pts report of pain -nonverbal cues-crying, groaning, restlessness, combativeness, striking out, refusing care, and facial expressions of fear -guarding of painful area -increased HR, BP, respirations Outcomes/Evaluation Pt will have decreased pain or be pain free Potential Complications -allergic reaction to treatment -abuse of pain