D) The patient will likely benefit more from distraction than pharmacologic interventions. Disease severity. Neuroplasticity is the ability of the peripheral and central nervous systems to change both structure and function as a result of noxious stimuli; this does not likely contribute to the patients pain. During a pain assessment, a nurse asks questions about the quality of an adult patient's pain. E) Prior effectiveness in relieving the pain B) Long-term intrathecal or epidural catheter Little evidence indicates that patients with cancer become addicted to the opioid medications. 2) Antianxiety agents: diazepam (Valium) D) The advantages and disadvantages of available pain-relief strategies A nurse is preparing to administer hydrocodone to a client who reports throbbing pain following a back injury. Skin breakdown and hallucinations are much less likely. Oneg a pain RN ATI Capstone Proctored Comprehensive Assessment B Home > Product View Cart RN ATI Capstone Proctored Comprehensive Assessment B This assessment is a part of the ATI Capstone Package and can not be purchased separately. B) Provide psychosocial family support during this emotional experience. Ans: A ), "You can be taught how to use TENS therapy at home. Smaller drug doses of medication are needed with the preventive pain method when PRN medications are given around the clock. NSAIDs produce pain relief primarily by blocking the formation of prostaglandins in the periphery; this is a central component of the pathophysiology of transduction. 32. B) Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings thepatient relief. B. Identifiable units of production. Feedback: Analyze this decision in light of the perceptual matters relating to branding. pain scale. A nurse is about to use the Wong-Baker FACES pain level. There is no suggestion of diabetes and leukocytosis would not occur at this early stage of recovery. The nurse is accepting care of an adult patient who has been experiencing severe and intracWhen reviewing the patients medication administration record, the nurse notes the presence oftable pain. 1 Q _______ is the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceceptors). Select all that apply. During a pain assessment, a nurse asks questions about the quality of an adult clients pain. Flashcards in ATI - Pain Management - 41Deck (112) Loading flashcards. ^ { 152 } _{63} \mathrm { Eu } \quad 151.921742\ \mathrm { u } \quad ^ {1} \mathrm { H } \quad 1.007825\ \mathrm { u }\\ \quad \mathrm { n } \quad 1.008665\ \mathrm { u } $$ D) The patient may want to relocate to long-term care in order to have his ADL needs met. Pain setting - how the pain affects daily life or how activities of daily living (ADLs) affect the pain. at aspect of. Wellness & Self-Care. Ans: B A nurse is reviewing information for several clients on the unit. B) Ask the patient to write down a number according to the 0-to-10 point pain scale. 7) Support systems that are present and can decrease sensitivity to pain C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine (Select all that apply. both structure and function as a result of noxious stimuli; this does not likely contribute to the pain. B. Feedback: aspects of transmission, perception, or modulation of pain that are listed. Construct a truth table for the proposition and determine whether the proposition is a contingency, tautology, or contradiction. Different people feel different degrees of pain from similar stimuli. Which of the following actions should the nurse take? 1) Anticonvulsants: carbamazepine (Tegretol) D) Chronic pain can cause intense emotional responses. 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. (PCA) pump. a. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. You cannot usually treat pain the patient denies having if the orders are PRN only. Higher doses of pain medication are usually needed with cancer patients, especially with metastasis. Self-report using standardized pain scales is useful for clients over the age of 7 years. ID 4817 Quick Delivery from THREE hours C) Use the Visual Analog Scale (VAS). Indications -pts report of pain -nonverbal cues-crying, groaning, restlessness, combativeness, striking out, refusing care, and facial expressions of fear -guarding of painful area -increased HR, BP, respirations Outcomes/Evaluation Pt will have decreased pain or be pain free Potential Complications -allergic reaction to treatment -abuse of pain However, further education and assessment are appropriate. D) Cancer pain is often misreported by patients because of confusion related to their disease process. Acuindicates that damage or injury has occurred. Determining a client's response to a diureticc. Drug interactions are more likely to occur in older adults because of the higher incidence illness and the increased use of prescription and OTC medications. A) Teach the family the theory of pain management and the use of alternative therapies. 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. 5) fibromyalgia Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. Pain management includes medicines and therapies to treat pain from a surgery, injury, or illness. 4) this pain typically responds to adjuvant medications (antidepressants, antispasmodic agents, skeletal muscle relaxants), Risk factors for undertreatment of pain include the following, 1) cultural and societal attitudes ATI has the product solution to help you become a successful nurse. Symptoms of physical dependence may occur when opiates are discontinued, but there is nouate pain patients. Transmission, perception, and modulation aren or burn, Feedback: The nurse should recognize that which of the following clients is at greatest risk for respiratory depression? Osteopenic pain is not a recognized category of pain. Over the years, therdamage, and the patient is in chronic pain. The family member is obviously Evaluate the client for pain by observing their behavior. Is it constant or intermittent? The three classes of analgesics are nonopioids, opioids, and adjuvants, Pharmacological Interventions: Nonopioid analgesics (acetaminophen, nonsteroidal anti-inflammatory drugs [NSAIDs], including salicylates) are appropriate for treating mild to moderate pain, 1) be aware of hepatotoxic effects of acetaminphen what variables should the nurse consider? ), Fear of addiction View All Products Facebook Question of the Week 2) Elevation of edematous extremities to promote venous return and decrease swelling, Pharmacological Interventions: Analgesics, are the mainstay for relieving pain. medication. Nowhere in the scenario does it indicate the patient is upsetsult in Fluid overload and paradoxical increase in pain are unlikely, though opioid-induced hyperalgesia (OIH) occurs in rare instances. Cancer pain can be chronic and difficult to treat so distraction may help, but higher doses of pain medications are usually the best intervention. Acute pain is usually of recent onset and commonly associated with a specific injury. C) Oral analgesia 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 Which of the following categories should the nurse include? Bedrooms. Giving the patient alternative methods to control pain is good, but it will not work if the patient is in so much pain that he cannot institute reliable alternative methods. The NA tells the nurse that he thinks the patiexaggerating and does not need pain medication. the conversion of painful stimuli to an electrical impulse through peripheral nerve fibers (nociceptors), occurs as the electrical impulse travels along the nerve fibers, where neurotransmitters regulate it, the amount of pain a person is willing to bear, Substances that increase pain transmission and cause an inflammatory response, Substances that decrease pain transmission and produce analgesia, the spinal cord, causing muscles to contract reflexively, moving the body away from painful stimuli, 1) acute pain is protective, temporary, usually self-limiting, and resolves with tissue healing, 1) chronic pain is not protective. No research indicates cancer patients misreport pain because of confusion related to their disease process. How should the nurse best respond to this assessment finding? B) Resources that can assist the patient with pain management Tolerance to opioids is common and becomes a problem primarily in terms of maintaining adeqcontrol. A) When it results in inadequate relief from pain Chronic pain may affect the patients quality of life by interfering with work, interpersonal relationships, or sleep. Nurses should understand the effects of chronic pain on patients and families and should beknowledgeable about pain-relief strategies and appropriate resources to assist effectively with pain In general, adverse effects are minimal. Skills Modules 3.0. A nurse is planning to administer a dose of intravenous morphine sulfate for a postoperative patient. The nurse should include that heat therapy is effective for which of the following conditions? b. is patients, A) Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary. The patient Over time, the patient is likely to become more tolerant of the dosage. Which of the following findings indicate an increased level of discomfort? his gender is. 4) identify the cause of sedation Sedation always precedes respiratory depression, 1) identify high-risk clients (older adult clients, clients who are opioid-naive) The nurse knows that the child is at greatest risk for which acid- a. acidosis 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 patientisexaggeratingthepainbecausethepatientisthebestauthorityofhisorherexistenceofpain, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. The patient does not need to fully understand pain physiology in order to communicate the presence, absence, or severity of pain. A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. "On a scale from 0-10, how do you rate your pain?". Both patients returned from the same type of surgery 2 hr ago. A nurse is preparing to assess the pain level of a 4-year-old child. Moving into a nursing homeic when a patient is in intractable 4) arthritis 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. A nurse is caring for a patient admitted to the emergency department with severe pain following a fall from a ladder. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? ey are not what the, You are caring for a patient with sickle cell disease in her home. Which of the following questions should the nurse ask the client to assess the quality of the pain? self-care and safety are the priorities. C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. ATI - Pain Management Pretest; ATI - Specimen Collection Pretest; Related Studylists Exit exam. A nurse has cited a research study that highlights the clinical effectiveness of management of postsurgical patients pain. Celecoxib, acetylcysteine, and acetylsalicylic acid are ineffective. QSEN competency of safety, what is the nurse most concerned about with this patient? What is the nurses best response? Last year a new car sold for $24,950. B) The patients blood pressure Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. $$. If PCA is to be used in the patients home, the patient and family are taught about the operatiopump as well as the side effects of the medication and strategies to manage them. Increasing pain tolerance is an unrealistic and inappropriate goal; exercise could help, but would not be the focus of the plan of care. 6) Anxiety and fear, which can increase or decrease sensitivity depending on whether clients obtained adequate relief definitive guide to defining psychological disorders. 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. 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. ATI Med Surg test questions Pain Management 100% Correct Answers, Download to Score A 1. ", A nurse is assisting with a staff in-service regarding pain control. Ans: A, B, D The dose range is usually higher with cancer patients. Feedback: Find the net cost (invoice amount) for the following. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. How often does it occur? B) Acute The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes. 2) cold for inflammation Key Term ati video case study pain management; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so . Two patients on your unit have recently returned to the postsurgical unit after knee arthroplapatient is reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the other patient is reportinsty. A nurse is evaluating a group of clients who are experiencing pain. for ati pain management flashcards on Quizlet. D. Have an opioid antagonist available during the administration. The patient asks thto keep getting larger doses of his pain medication, although they do not seem to affect him. Prior debilitation does not have to be present in order for stress to cause potential harm. A. Nowhere in the scenario does it indicate the patient is upset about the hospitalization or that she has a psychiatric disorder. b) An employer might be liable for the actions of its employee outside the scope of employment if the employer was negligent or reckless in allowing it to occur, or for other reasons. Symptoms of physical dependence may occur when opiates are discontinued, but there is no indication that the patients medication will be discontinued. This is particularly harmful in patients whose health is already compromised by age, illness, or injury. 2) it includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his pain level. Ans: C Which of the following provider prescriptions for initial pain relief should the nurse question? (Select all that apply. accurate, Your patient is 12-hours post ORIF right ankle. Sedation is an expected effect of a narcotic analgesic, though severely decreased LOC is problematic. Which of the following pain management protocols should the nurse use when caring for this client? 5) Glucocorticoids: dexamethasone (Decadron) 3) morphine and hydromorphone (Dilaudid) are typical opioids for PCA delivery 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 . Click the card to flip C) Unless there is strong evidence to the contrary, we should take the patients report at face value. Document associated symptoms (fatigue, depression, nausea, anxiety), ask "What other symptoms do you hae when you are feeling pain?". A nurse is caring for a client who has a left hip fracture and is prescribed a morphine IV bolus as needed for pain. A multimodal regimen combines drugs with different underlying mechanisms, which allows of each of the drugs in the treatment plan, reducing the potential for each to produce adverse efflower dosesects. A) Endorphin levels may vary between patients, affecting the perception of pain. Test. ing plan of. The nurse serves as the patients advocate in obtaining additional pain relief. Feedback: D) Administer an analgesic and then reassess. Feedback: 3) Tricyclic antidepressants: amitriptyline (Elavil)