Consider each client's cultural preferences. Much pain associated with cancer is a direct result of tumor involvement. 4) It is essential to monitor and intervene for adverse effects of opioid use: constipation, orthostatic hypotension, urinary retention, nausea/vomiting, sedation, respiratory depression, Pharmacological Interventions: Adjuvant analgesics enhance the effects of nonopioids, help alleviate other symptoms that aggravate pain (depression, seizures, inflammation), and are useful for treating neuropathic pain, Adjuvant medications include: Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. One way preventive pain measures can be implemented is by using PRN medications on a more regular or scheduled basis to allow for more uniform pain control. Dr. Rebecca Hawkins, PHD - Reviews - Denver, CO This 25-item . Ans: A, B, D D) Provide medication as per patient request and offer relaxation techniques to promote comfort. B) Provide psychosocial family support during this emotional experience. The oral route is better for chronic, nonfluctuating pain ATI: Pain Management Flashcards | Quizlet ATI: Pain Management 4.9 (12 reviews) Term 1 / 7 During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Feedback: (pq)(pq). Thus, the best set of goals would be to decrease time lost from work to increase the quality of interpersonal relationships, and decrease anxiety. pain scale. patients advocate in obtaining additional pain relief. A nurse is caring for a client who has a prescription for heat therapy for knee pain. Over the years, therdamage, and the patient is in chronic pain. Transmission, perception, and modulation are subsequent to this process. Which of the following statements by the patient refers to pain quality? Little evidencepatients with cancer become addicted to the opioid medications. both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. A nurse is about to use the Wong-Baker FACES pain level. A broad definition of pain is whatever the person says it is, existing whenever the experiencisays it does. A transmission 3 Q (a) What can be said about the inflation rate when the current price is less than the original price? Ans: A Can the read and write methods in the Buffer class be executed concurrently? 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 client reports unbearable pain after attempting six demand doses within the last hour. Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. C) Monitor for a paradoxical increase in pain with opioid administration. 2) moaning, crying strength and severity are "measures" of the pain. The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. The patient n is not, B) Cancer pain is always chronic and challenging to treat, so distraction is often the best intervention. Ans: B 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. It takes less medication to prevent pain than to treat pain. Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. A) Self-care and safety Which of the following questions should the nurse ask to determine the intensity of the client's pain at this time? tanding the a. 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 . 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 47 Care of the patient with a cardiovascu, Chapter 11 Pain Management Prep U 40 questions. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. C) Team leader A nurse is speaking with a client who reports experiencing frequent, severe migraines and asks, "Can you tell me about biofeedback?" Which of the following statements by a staff member indicates an understanding of the information? Different people feel different degrees of pain from similar stimuli. Changing the dressing for a client who has a stage 3 pressure injuryb. The balance sheet items that vary directly with sales and the profit margin are as follows: The dividend payout rate is 50 percent of earnings, and the balance in retained earnings at the end of 20X1 was$33 million. After assessing the client's pain, which of the following actions should the nurse take? (b) What is the deflation rate? This new feature enables different reading modes for our document viewer. 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. ATI-FUNDAMENTALS-2019-PROCTORED-EXAM-FUNDAMENTALS-PROCTORED-EXAMATI Fundamentals 2019 Proctored Exam |Fundamentals Proctored ExamA nurse is planning care for a group of clients. Electrolyte values, blood pressure, and hydration status are not what you need to assess prior to giving a first dose of narcotics. The nurse explains neuropathic pain inwhy. Ans: B patient is exaggerating the pain because the patient is the best authority of his or her existence of pain. A nurse is preparing to administer acetaminophen 1000mg PO every 12 hrs for a client who has arthritic pain. A) Over time you become more tolerant of the drug. Feedback: Therefore, physiologic indicators may not be an accurate measure of pain over time, Nonpharmacological Pain Management: Cutaneous (skin) stimulation - transcutaneous electrical nerve stimulation (TENS), heat, cold, therapeutic touch, and massage, 1) interruption of pain pathways a. Cross), Give Me Liberty! What makes the pain worse? This patient does not have an addiction and the familys concerns are secondary to those of the patient. Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. Creating autonomy is important, but need is a poorly defined concept. Which of the following actions should the nurse plan to take? Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. A) When it results in inadequate relief from pain Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife ATI PEDIATRIC Proctored Exam (New 2020 / 2021) 1. A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC is problematic. (Select all that apply. patients care, what variables should you consider? Pharmacological Interventions: Other strategies for effective pain management include the following: 1) taking a proactive approach by giving analgesics before pain becomes too severe. The family member is obviously concerned. $78+$50+$95. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) 3) Genetic sensitivity, which can increase or decrease pain tolorance A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. A) Medication should be taken when pain levels are low so the pain is easier to reduce. 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. 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain B) Ask the patient to write down a number according to the 0-to-10 point pain scale. Database Systems Design Implementation and Management 9th Edition Coronel Solution Manual, Lesson 17 Types of Lava and the Features They Form, Logica proposicional ejercicios resueltos, 1-2 Module One Activity Project topic exploration, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? Ans: C Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. Because elderly people have a slowermetabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of View All Products Facebook Question of the Week 4) Antihistamine: hydroxyzine (Visaril) The nurse trigeminal neuralgia. 3) prevent gastric upset by administering the medication with food or antacids 3) older adults The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. B) Placebos are an acceptable, but unconventional, form of nonpharmacological pain management. Pain associated with cancer may be acute or chronic. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. Which of the following actions should the nurse take after performing a pain assessment? If the intervention was ineffective, the nurse should consider other measures. You cannot usually treat pain the patient denies having if the orders are PRN only. A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. 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. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy What would be the nurses best response? Modulation occurs in the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli. What are you doing when the symptoms occur? 3. 32. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. safe manner. inadequate. A) Cancer pain is often related to the stress of the patient knowing she has cancer and rerelatively low doses of pain medications along with a high dose of anti-anxiety medications, The mother of a cancer patient comes to the nurse concerned with her daughters safety. The nurses assessment of the patients pain is a priority. A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. 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. Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. the nurse should teach the patient which of the following? A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. Self-report using standardized pain scales is useful for clients over the age of 7 years. Test with =.05\alpha=.05=.05. The initial assessment reveals long-term use of opioids for chronic pain. Although all answers are correct, the most accurate conclusion would be to reinforce teaching about the pain scale. ATI has the product solution to help you become a successful nurse. HOW? A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. Ice helps decrease swelling and pain. D) Placebos require the active participation of the patients family. Over time, the patient is likely to become more tolerant of the dosage. The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line anneuropathic pain. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable.