Books You don't have any books yet. (a) What can be said about the inflation rate when the current price is less than the original price? D) Administer an analgesic and then reassess. 4) Antihistamine: hydroxyzine (Visaril) 2) carefully titrate doses while closely monitoring respiratory status ", A nurse is discussing the FLACC scale with a newly licensed nurse. 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? A) Teach the family the theory of pain management and the use of alternative therapies. ", John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Information Technology Project Management: Providing Measurable Organizational Value, Ch. Before administering medications such as narcotics for the first time, the nurseprevious allergic reactions. Ans: A The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. Click the card to flip Definition 1 / 7 My pain feels like I'm being stabbed by a knife Fibromyalgia is closely associated with chronic pain. 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 . A nurse is caring for two patients of different cultural backgrounds. Teaching the family the theory of pain management or the use of alternative therapies and 3) older adults production and consumption in 2000and in 2010. Jennifer McNeely D40511762 What elements are included in a pain assessment? Light of wavelength is used in a Michelson interferometer. You are frequently assessing an 84-year-old womans pain after she suffered a humeral When applying the nursing process in pain management for a patient of this age, what principle shouldfracture in a fall. need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endangerthe patient. 3) fear of addiction C) Team leader 3) cancer (tumor invasion, nerve compression, bone metastases, associated infections, immobility) The familys insights do not override the patients self-report. The patient is physically exhibiting signs and symptoms of pain. safe manner. Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. It is tempting to expect that people who have had multiple or prolonged experiences with pain will be less anxious and more tolerant of pain than those who have had little experience with pain. It won't be cheap but money isn't the reason why students in the U.S. seek the services of premium writers. Ask "What does the pain feel like?" Stress is less pronounced in older adults because they generally have more sophisticated coping skills than younger adults. Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) lable every, B) Do a complete assessment, and give pain medication based on the patients report of pain. Little evidencepatients with cancer become addicted to the opioid medications. I will speak to the doctor about your husbands pain control. 3. used to prevent pain so pain medication is not increased when pain becomes intense. C) Intermittent There is no evidence of cognitive deficits in this patient and the differenceand intermittent pain has no immediate bearing on this patients care. Ans: A Transduction refers to the processes by which noxious stimuli, such as a surgical incision or burn, activate primary afferent neurons called nociceptors. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . 5. C) When having to report the patients addiction to her physician Ans: A, B, D RN ATI capstone proctored comprehensive assessment 2019 B . During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. Ans: D The nurse caring for a 91-year-old patient with osteoarthritis is reviewing the patieis on a variety of medications prescribed by different care providers in the community. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy ATI has the product solution to help you become a successful nurse. Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adequate pain control. The nurse should monitor the client for which of the following adverse effcets? The nursing care of patients who undergo procedures for the relief of chronic pain depends on the typeof procedure performed, its effectiveness in relieving the pain, and the changes in neurologic function The nurse se are ineffective,rves as the 1) Managing acute severe pain with short-term (24-48 hr) around-the-clock administration of opioids is preferable to following a PRN schedule 2) The parenteral route is best for immediate, short-term relief of acute pain. Depression is associated with chronic pain and can be exacerbated by the effects of chronic fatigue. How often does it occur? 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. What is the primary ratiadministering pain medication in this manner? The patient is asking for a breakthrough dose ofanalgesia. The. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. Over time, the patient is likely to become more tolerant of the dosage. This is particularly harmful in patients whose health is already compromised by age, illness, or injury. 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. What treatment would you expect might be tried with this patient? Broad agreement is that there are no individuals for whom and no condition for which placebos are recommended treatment. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? (PCA) pump. This requires the ability to perform self-care activities in a safe manner. What is your priority assessment? 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. ATI has the product solution to help you become a successful nurse. C) Type of procedure be performed but is a separate psychological dependency issue. The nurse knows that the child is at greatest risk for which acid- a. acidosis b. the mother is afraid that her daughter will overdose. The scenario does not indicate the present pain-management orders are not working for this patient. Much pain associated with cancer is a direct result of tumor involvement. Which of the following characteristics applies to process costing but not to job order cost accounting? The nurse should include that heat therapy is effective for which of the following conditions? Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. dy have been tried, You are caring for a 20-year-old patient with a diagnosis of cerebral palsy who has been admirelief of painful contractures in his lower extremities. Which of the following provider prescriptions for initial pain relief should the nurse question? B) Patients comorbid conditions 3) decreased attention span, 1) blood pressure, pulse, and respiratory rate increase temporarily with acute pain ATI has the product solution to help you become a successful nurse. The other options are all goodof chronic (Select all that apply. 2) Elevation of edematous extremities to promote venous return and decrease swelling, Pharmacological Interventions: Analgesics, are the mainstay for relieving pain. Which of the following pain management protocols should the nurse use when caring for this client? missing part. Pharmacological Interventions: Strategies specific for relieving chronic pain include the about interventions, plus: 1) administering long-acting or controlled-release opioid analgesics (including the transdermal route) Have the client rate their pain using a standard scale. final exam review pharmacology ati flashcards quizlet. Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause What type of pain are you addressing when you provider vehicle Long-term bonds and common stock are constant at$5 million and $10 million, respectively. What teaching should the nurse do with this patient? This patient does not have an addiction and the familys concerns are secondary to those of the patient. 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. C) Placebos are never recommended in the treatment of pain. 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. 2) eventually, increase in vital signs will stabilize despite the persistence of pain. aspects of transmission, perception, or modulation of pain that are listed. A nurse is assessing a client's cranial nerves. 5) Glucocorticoids: dexamethasone (Decadron) D) Placebos require the active participation of the patients family. The widespread endocrine, immunologic, and inflammatory changes that occur with the stress of pain can have significant negative effects. terms that are accessible to the patient. The patients comorbid conditions will also affect care, but not a key consideration. How should you most accurately assess this patients pain? The patient asks does it still feel like my leg is attached, and why does it still hurt? C) Cancer pain can be acute or chronic and it typically requires comparatively high doses of medications. It is impractical to obtain translator services for every pain assessment, since this is among the most frequently performed nursing assessments. level of 3 to 4 on the same pain scale. 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. A nurse is caring for two patients of different cultural backgrounds. Which of the following statements should the nurse include? ask the following questions: Where are you when the symptoms occur? A patient who receives opioids by any route must be assessed frequently for changes in respirastatus. c) an employer is always liable for the actions of its employee outside the scope of employment, d) an employer can never be liable for the actions of its employee unless they are relatives, Exercise 13.25 required you to conduct a t-test of the difference between two means. 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. Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. 20. D) Modulation Opioids are not absolutely contraindicated and confusion following surgery is never normal. This fact also beyond the expected healing time and that can seldom be attributed to a specific cause or injuPhantom pain occurs when the body experiences a loss, such as an amputation, and still feels painry. a. t the patients, As always, the best guide to pain management and administration of analgesic agents in allregardless of age, is what the individual patient says. B. Identifiable units of production. Ans: D Medication should begin at a low dose and slowly increase until the pain is managed. Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care.