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B) When dealing with withdrawal symptoms resulting from the tolerance What is the nurses most plausible rationale for underspatients different perceptions of pain? 6) neuropathy 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. As a result,e states that Child and Early Adolescent Development and Psychology (ELM 200), Organizational Theory and Behavior (BUS 5113), Fundamentals of Information Technology (IT200), Foundation in Application Development (IT145), Ethical and Legal Considerations of Healthcare (IHP420), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), 315-HW6 sol - fall 2015 homework 6 solutions, Ch. Which of the following actions should the nurse take? NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the peripis a central component of the pathophysiology of transduction. Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. 7) Support systems that are present and can decrease sensitivity to pain 5) Glucocorticoids: dexamethasone (Decadron) A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery The elderly often require lower doses of medication and are easily confused with new medications. Which of the following findings indicate an increased level of discomfort? Pain scales can include images, numbers, words, or other intensity markers that allow the client to select a pain level. The client's family asks the nurse about managing the client's pain. ATI has the product solution to help you become a successful nurse. Many small boats are made of fiberglass, which is derived from crude oil. You have just received report on a 27-year-old woman who is coming to your unit from the emergencydepartment with a torn meniscus. that accompany the procedure. D) Osteopenic View Homework Help - ATI pain challenge question.docx from NURSING NR304 at Chamberlain College of Nursing. The nurse should not assume thelerance is associated with The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. Ans: A A nurse is about to use the Wong-Baker FACES pain level. Which of the following questions should the nurse ask the client to assess the quality of the pain? Conveying patient/family concerns to the physician is something a nurse does, but is not the best response by the nurse. Ans: B Technical analysis in the form of charting. policy as it applies to: i. uprofen every. The nurse should include that heat therapy is effective for which of the following conditions? Thhe has been saving his PRN analgesics until the pain is intense because his pain control has e patient indicates thatbeen 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 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. It won't be cheap but money isn't the reason why students in the U.S. seek the services of premium writers. The nurse is caring for a male patient whose diagnosis of bone cancer is causing severe 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. patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. Use a pain scale specific to each client's cognitive abilities. In which way should the nurse categorize this client's pain? should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? Here are some atomic masses and the neutron mass. ), "A client's religious beliefs might affect the way they respond to pain.". A) When it results in inadequate relief from pain (a) What can be said about the inflation rate when the current price is less than the original price? The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic 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. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. Ans: B, C, D, E A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" ATI PEDIATRIC Proctored Exam (New 2020 / 2021) 1. Feedback: medication. Feedback: 8. E) The difference between acute and intermittent pain e the, D) Does the increasing medication dosage concern you? 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 The otherng person However, further education and assessment are appropriate. (Select all that apply. Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. ATI questions 231 1-3 Discussion- Population, Samples, and Bias Intro SA PAG Aaral NG WIKA (Ang Pagtatamo at Pagkatuto ng Wika) Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE Biomolecules Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. pain that she rates as 8 on a 0-to-10 point scale. A physician injects 5mg5 \mathrm{mg}5mg of dye into a vein near the heart of a patient and by monitoring the concentration of dye in the blood over a 24-second period, determines that the concentration of dye leaving the heart after ttt seconds ( 0t24)0 \leq t \leq 24)0t24) is given by the function, C(t)={0for0t20.034(t226t+48)for2t24C(t)=\left\{\begin{array}{cl}0 & \text { for } 0 \leq t \leq 2 \\ -0.034\left(t^2-26 t+48\right) & \text { for } 2 \leq t \leq 24\end{array}\right. Which of the following actions should the nurse take after performing a pain assessment? l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. During a pain assessment, a nurse asks questions about the quality of an adult clients pain. 1035 Natoma Street, San Francisco. Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. (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 A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. Ans: B The patient asks the nurse to describe how this pain-relief method works. E. Use of a single Work in Process Inventory account. 2) moaning, crying Anxiety is also plausible, but depression is a paramount risk. In general, adverse effects are minimal. C. "My pain feels like I'm being stabbed by a knife. Although tolerance to the drug will increase, addiction is not dose related, Pain medication isents are If you wanted to implement preventive pain measures when thepatient arrives to your unit, what would you do? Cancert/family ask the following questions: Where are you when the symptoms occur? Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. What is the nurses best response? a. A. Light of wavelength is used in a Michelson interferometer. Which of the following should the nurse expect to be the same for both patients? 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 Ans: A 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) C) Reassess the patients pain in 30 minutes. 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. D) Changes in neurologic function due to the procedure y associated with, You are caring for a patient admitted to the medical-surgical unit after fallistates I hurt so bad. C) The patients allergy status (TENS) about the hospitalization or that she has a psychiatric disorder. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions When does the tolerance to pain medication become the most significant problem? 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 Similarly, psychosomatic factors and misperception of pain are highly unlikely. You are the home health nurse caring for a homebound client who is terminally ill. You are delipatient-controlled analgesia (PCA) pump to the patient at your visit today. The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Feedback: Have an opioid antagonist available during the administration. Which of the following manifestations is an objective indicator of pain? Transmission, perception, and modulation are subsequent to this process. A. Offering themedication is more beneficial than letting the patient know ibuprofen is available. The other answers are incorrect. The elderly have slowed metabolism and excretion, and, therefore, the elderly should receive a lower dose of pain medication given over a longer period time, which may help to limit the potential for confusion. 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. Determine the effectiveness of nonpharmacological strategies. Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. Before introducing nonpharmacological pain control interventions into the patients plan of caand increasingre, What makes the pain worse? (Select all that apply. Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. This requires the ability to perform self-care activities in a safe manner. Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. Although tolerance to the drug will increase, addiction is not dose related, but is a separate psychological dependency issue. B) We need to provide pain medications because it is the law, and we must always follow the law. Flashcards in ATI - Pain Management - 41Deck (112) Loading flashcards. B) Resources that can assist the patient with pain management $$. Assess clients for pain frequently, and intervene as appropriate, Sedation, respiratory depression, and coma can occur as a result of overdosing. Nonpharmacological interventions indeed reduce pain and their use is not limited to practitioners outside the healthcare team. 28. Meditation is one of the recognized mind-body methods of nonpharmacological pain control. The patient will be at home monitoring his own pain management, administering his own medicatand monitoring and reporting side effects. How often does it occur? Overdose is not an inevitable risk, A) Use a pain scale to assess the patients pain, and let the patient know ibuprofen is avaihours if she needs it. Pain associated with cancer may be acute or chronic. Transmission, perception, and modulation aren or burn, and definitions for pain state that pain is whatever the person says it is, existing whenevexperiencing person says it does. D) Drug interactions When creating a nursing care plan for this patient,tted for the 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. This is particularly harmful in patients whose health is already compromised by age, illness, or injury. C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. View All Products Page Link Facebook Question of the Week. 3) neuropathic pain is usually intense, shooting, burning, or described as "pins and needles" If the intervention was ineffective, the nurse should consider other measures. Check the IV sit and PCA pump for proper functioning. Have the client rate their pain using a standard scale. Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. Ans: D Feedback: It has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. This requires the ability to perform self-care activities in aion, The familys insights do not override the patients self-report. D) Inhibiting transduction by blocking the formation of prostaglandins in the periphery Of the listed options, a language comparison chart is most plausible. Older people may respond differently to pain than younger people. Have an opioid antagonist available during the administration. 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. 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. 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. Patients do not become imm indicates thatune to the 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 Little evidence indicates that patients with cancer become addicted to the opioid medications. Cross), Give Me Liberty! pain that she rates as 8 on a 0-to-10 point scale. Which of the following examples should the nurse include as an example of autonomy? 6. You cannot usually treat pain the patient denies having if the orders are PRN only. Which of the following statements by the client refers to pain quality? A) Use a chart with English on one side of the page and the patients native language on the other so hecan rate his pain. It takes less medication to prevent pain than to treat pain. If thesepain-relief goals need to be reassessed in collaboration with the physician. B) The patient is likely frustrated because she has to be in the hospital. A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. "You should write down the pain interventions you use and your pain rating before and after. 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. B) One of the patients is exaggerating his or her sense of pain. Ans: D 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.
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