. 4) exaggerated fear of respiratory depression, Populations at risk for undertreatment of pain include the following, 1) infants tanding the The client has never taken hydromorphone before. Which of the following statements by the patient refers to pain quality? When addressing the patients pain in her plan of nursing carat has e, the 4) Antihistamine: hydroxyzine (Visaril) C) Use the Visual Analog Scale (VAS). 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). 7) Support systems that are present and can decrease sensitivity to pain The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. 1 PN Pharmacology 2020 Ati Student's Name Department, Institutional Affiliation Course Title Tutor's . 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 an older adult client who has a cognitive impairment and is postoperative. What is the nurses most plausible rationale for underspatients different perceptions of pain? 2) Antianxiety agents: diazepam (Valium) 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. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadeq. For expository writing, our writers investigate a given idea, evaluate its various evidence, set forth interesting arguments by expounding on the idea, and that too concisely and clearly. . Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions How long does it last? 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. A) When it results in inadequate relief from pain with the preventive pain method when PRN medications are given around the clock. Similarly, psychosomatic factors and misperception of pain are highly unlikely. The nurse should describe what pathophysiologic process? 2) Elevation of edematous extremities to promote venous return and decrease swelling, Pharmacological Interventions: Analgesics, are the mainstay for relieving pain. er the, A) The patients electrolyte levels Which of the following questions should the nurse ask to evaluate the letter "R"? "Biofeedback measures skin tension and uses learned techniques to relieve pain.". Which of the following actions should the nurse take? This method also reduces, but does not eliminate, adverse effects of the opioid. Weight Mass Student - Answers for gizmo wieght and mass description. Which of the following factors should the nurse expect to be similar for both clients? ATI RN LEADERSHIP MANAGEMENT PROCTORED EXAM (0) PROCTOR ATI COMP REVIEW EXAM REVIEW QUESTIONS ati rn comprehensive predictor 2019 form nurse in pediatric unit is preparing to insert an iv catheter for which. c. Briefly explain the roles or responsibilities of portfolio managers in an efficient Where on the income statement does a company report an unusual gain not expected to occur more often than once every two years or so? D) To eliminate the potentially adverse effects of the opioid A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. A client who has diabetes mellitus and reports bilateral burning foot pain without signs of injury, A nurse is discussing end-of-life pain management with a group of coworkers. a. Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain ent is, A) Pain often comes and goes with postsurgical patients. Investigating new alternatimanagement options that are outside the United States is unrealistic and may even be dangerous advice pain- Ans: D Which of the following client actions is an indication that cranial nerve I is intact? What is the nurses best response? D) Dependence and health A nurse is teaching staff about the ethical principle of justice and how it relates to pain management for clients. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. Culture definitive guide to defining psychological disorders. Chronic pain and acute pain are not mutually exclusive. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. You review her PRN medications and see that she has an NSAID concerned. This patient does not have an adthe familys concerns are secondary to those of the patient. . A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. Much pain associated with cancer is a direct result of tumor involvement. Older people may respond differently to pain than younger people. Ans: D (Select all that apply. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep and much more. Feedback: B) Placebos are an acceptable, but unconventional, form of nonpharmacological pain management. answers for this patient because of the patients age and disease process. The nurse se are ineffective,rves as the Ans: A, B, D Feedback: Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. Which of the following is a pain management protocol that should be used by the nurse in this situation? The client can identify a minty . 22. Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? Select all that apply. a) An employer can never be liable for the actions of its employee outside the scope of employment. The patients comorbid conditions will also affect care, but not a key consideration. Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife With regard to the actions of employees outside the scope of employment, which of the following statements is true? What is thee nurse why he has had Ati-Pain Flashcards | Quizlet Ati-Pain 5.0 (1 review) Term 1 / 27 A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Changing the dressing for a client who has a stage 3 pressure injuryb. policy as it applies to: i. Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. The pain-medication orders are written as a combination of an opioid analgesic and a Consider each client's cultural preferences. The client's report of pain is the most reliable diagnostic measure of pain. nurses best response? Which of the following statements by the patient refers to pain quality? 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. 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. The home health nurse is developing a plan of care for a patient who will be managing his chronic painat home. Which of the following categories should the nurse include? 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. Action should be taken unless there are demonstrable extenuating circumstances. Feedback: ), Muscular pain Patients do not become immune to the effects of the drug, and the body does not absorb less of the drug because of the cancer. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. C) Type of procedure be performed pain management? 3. Asking the patient to write similarly requires the use of English. Ans: B A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. 8. Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. Which of the following actions should the nurse take after performing a pain assessment? need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. C) Placebos are never recommended in the treatment of pain. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. As always, the best guide to pain management and administration of analgesic agents in all patients, regardless of age, is what the individual patient says. Click the card to flip A multimodal regimen combines drugs with different underlying mechanisms, which allows lower doses of each of the drugs in the treatment plan, reducing the potential for each to produce adverse effects. Ans: D Further teaching may need to be doneso the patient can correctly rate the pain. 2) lack of knowledge What teaching should the nurse do with this patient? Use of a predetermined overhead rate. The family members will bevering a A transduction 2 Q _______ occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it. appropriate. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . D) Use the services of a translator each time you assess the patient so you can documenpain rating. A nurse is preparing to assess the pain level of a 4-year-old child. D) Provide medication as per patient request and offer relaxation techniques to promote comfort. C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. The nurse is caring for a male patient whose diagnosis of bone cancer is causing severe pain. Rate your pain on a scale from 0 to 10. ask the following questions: When did it start? With the knowledge delivered from 30 newly formatted modules each featuring tutorials, step-by-step demonstration videos, checklists, quick references, animations, pre- and post-tests, challenge cases, remediation, and more students will enter the on-site skills . 4. Notes payable are currently $7 million. Ans: D : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud). 3) fear of addiction ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. familys insights do not override the patients self-report. Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. Which of the following provider prescriptions for initial pain relief should the nurse question? A) Endorphin levels may vary between patients, affecting the perception of pain. Which of the following tasks should the nursedelegate to an assistive personnel?a. The other listed means of pain control would already have been tried in a patient with persistent severe pain that has not responded to previous treatment.