ati pain management quizlet ati pain management quizlet

Chronic pain is constant or intermittent pain that persists beyond the expected healing time and that can seldom be attributed to a specific cause or injury. The patients comorbid conditions will also affect care, but not a key consideration. For that problem, though, his painmedicine wasnt just raised and raised. Offer to assist the client with nonpharmacological relief strategies. Which of the following manifestations is an objective indicator of pain? appropriate. Feedback: 2) requires an ability to concentrate, Nonpharmacological Pain Management: Acupuncture, vibration or electrical stimulation via tiny needles inserted into the skin and subcutaneous tissues at specific points, 1) Reduction of pain stimuli in the environment What is the nurses most plausible rationale for underspatients different perceptions of pain? "Your family member has the right to receive effective pain management. Which of the following examples should the nurse include as an example of autonomy? When planning thcare, what do you know about the negative effects of the stress associated with pain? should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? 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 has no inherent negative effects; it just alerts the person/health care team of an underlying disease process. Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? The requirement for higher drug doses results in a greater drug tolerance, which is a physing doses to relievecal (ibuprofen) ordered every 6 hours. concerned. A) Placebos require a higher level of informed consent than conventional care. A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. One hour after the patient has returned to the unit, the patient tells the nurse that her pain is still unbearable. The wife of a patient you are caring for asks to speak with you. Which of the following pain assessment tools should the nurse use? D) To eliminate the potentially adverse effects of the opioid Unfortunately, the elderly are often given the same dose as younger adults, and the resulting confusion is attributed to other factors like environment. Broad agreement is that there are no individuals for whom and no condition for which placebos are the recommended treatment. Hyperexcitable nerve endings in the periphery can become damaged, leading to abnormal reorganization of the nervous system called neuroplasticity, an underlying mechanism of some neuropathic pain states. ), Respiratory rate 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 Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. Your patient is receiving postoperative morphine through a patient-controlled analgesic and the patients orders specify an initial bolus dose. ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. (pq)(pq). Which of the following statements by the patient refers to pain quality? This principle supersedes the other listed statements. a. Which of the following medications should the nurse ensure is available in case the client develops respiratory depression? so others may care for him is an intervention that does not address the issue of pain. When does the tolerance to pain medication become the most significant problem? A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. final exam review pharmacology ati flashcards quizlet. The nurse serves as the patients advocate in obtaining additional pain relief. C) Assessment for fluid overload Ans: C This regimen is not motivated by the need to prevent respiratory depression or to eliminate nighttime dosing. Asking the patient to write similarly requires the use of English. Teaching the family the theory of pain management or the use of alternative therapies and The nurse is caring for a patient with metastatic bone cancer. Opioid tolerance is associated with chronic pain treatment and would not likely apply to these patients. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. Pain and Perioperative ATI Chapters 4, ATI Chapter 4: Pain Management Physiology Patients have the right to adequate assessment and management of pain. A However, further education and assessment are patients, (a) What can be said about the inflation rate when the current price is less than the original price? A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. The patient is tearful,ng a 0-to- 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. Different people feel different degrees of pain from similar stimuli. Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. 7) Support systems that are present and can decrease sensitivity to pain In lints chart. 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. myofascial pain syndrome. A comparably equipped car sells this year for$22,500. 1035 Natoma Street, San Francisco. The patient is physically exhibiting signs and symptoms of pain. Feedback: 4) clients should let the nurse know if using the pump does not control the pain 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. Ans: D D) Your body absorbs less of the drug due to the cancer. Ans: A Test. 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. 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 management includes medicines and therapies to treat pain from a surgery, injury, or illness. functional ability and may have to be readmitted to an acute-care facility. 2) monitor for salicylism (tinnitus, vertigo, decreased hearing acuity) 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 What happens to the profits of boat makers in the short run? C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. 3) prevent gastric upset by administering the medication with food or antacids The patient is physically exhibiting signs and symptoms of pain. Chronic pain is constant or intermittent pain that persistste pain Level: College, High School, University, Master's, PHD, Undergraduate. The nurse se are ineffective,rves as the Which of the following questions should the nurse ask the client to assess the quality of the pain? Check the IV sit and PCA pump for proper functioning. What type of pain are you addressing when you provider vehicle My pain feels like I'm being stabbed by a knife. Smaller drug doses of medication are neededgular What makes the pain worse? D) Case manager Self-report using standardized pain scales is useful for clients over the age of 7 years. The nurse educates the mother about whher pain management? What will happen to external fund requirements if Mansfield Corporation reduces the payout ratio, grows at a slower rate, or suffers a decline in its profit margin? 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? The nurse should monitor the client for which of the following adverse effects? The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. Ans: D C) Check for allergies, use a pain scale to assess the patients pain, and offer the ibhours until the patient is discharged. Osteopenic pain is not a recognized category of pain. A) Self-care and safety The pain-medication orders are written as a combination of an opioid analgesic and a A) Teach the family the theory of pain management and the use of alternative therapies. Severe opioid-induced sedation necessitates the administration of naloxone, an opioid antagonist. Patients requiring opioids for chronic pain, especially cancer patients, need increasing doses to relieve pain. You are the nurse caring for a postsurgical patient who is Asian-American who speaks verEnglish. The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. Fluid overload and paradoxical increase in pain are unlikely, though opioid-inducedhyperalgesia (OIH) occurs in rare instances. Feedback: Which of the following categories should the nurse include? C) The increased risk of overdose is an inevitable risk of maintaining adequate pain controcancer treatment. C) The patients allergy status ATI has the product solution to help you become a successful nurse. Feedback: b. It is ongoing or recurs frequently, lasting longer than 6 months and persisting beyond tissue healing, 1) nociceptive pain arises from damage to or inflammation of tissue other than that of the peripheral and central nervous systems, 1) neuropathic pain arises from abnormal or damaged pain nerves Here are some atomic masses and the neutron mass. Select all that apply. EMH. B) We need to provide pain medications because it is the law, and we must always follow the law. Preview text. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. Further teaching may need to be doneso the patient can correctly rate the pain. Use visual analog scales (description scale, number rating scale) to measure pain, monitor pain, and evaluate the effectiveness of interventions. Feedback: A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. 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. The nursing care of patients who undergo procedures for the relief of chronic pain depends on the type of procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function that accompany the procedure. The nurse should document that the client is experiencing which of the following types of pain? A nurse is caring for two patients of different cultural backgrounds. Evaluate the client for pain by observing their behavior. both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy Offering the medication is more beneficial than letting the patient know ibuprofen is available. l during, D) There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. self-care and safety are the priorities.