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The client reports unbearable pain after attempting six demand doses within the last hour. o They should assess the effectiveness of the interventions 30 to 60 mins after implementation. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor . The nurse should apply heat therapy to the client's knee for how long? the, A) Neuroplasticity A) Intravenous analgesia "Can you point to where you are having your pain?". A nurse is caring for a client who has a prescription for hydromorphone 1 to 2 mg IM every 4 hr as needed for a pain rating of 4 to 6 on a 0 to 10 scale. Ans: C For patients who have persistent, severe pain that fails to respond to other treatmentsrelief only with the risk of serious side effects, medication administered by a long-term intrathecal or or who obtain pain Transmission, perception, and modulation aren or burn, The patient asks does it still feel like my leg is attached, and why does it still hurt? D) The patients hydration status A nurse is caring for an older adult client who has a cognitive impairment and is postoperative. Feedback: 2) eventually, increase in vital signs will stabilize despite the persistence of pain. ), A nurse is discussing transcutaneous electrical nerve stimulation (TENS) treatment with a client who has chronic lower back pain. D) Dependence and health At any point from the periphery to the CNS, the potential exists for the development of neuropathic pain. C) Unless there is strong evidence to the contrary, we should take the patients report at face value. C) Inadequate pain control What is the binding energy per nucleon of the europium isotope 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. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Comparing radial . Respiratory alkalosis c. Metabolic acidosis Metabolic alkalosis A ANS: A Morphine overdose can cause 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 questions should the nurse ask to determine the intensity of the client's pain at this time? The family member is obviously Ans: A, B, D However, further education and assessment are patients, The nurse serves as the patients advocate in obtaining additional pain relief. After assessing the client's pain, which of the following actions should the nurse take? (Select all that apply. a. Radiography reveals an ulnar fracture. Conveying patienconcerns to the physician is something a nurse does, but is not the best response by the nurse. A 52-year-old female patient is receiving care on the oncology unit for breast cancer thmetastasized to her lungs and liver. Check the IV site and PCA pump for proper functioning. 4.9/5. A nurse is caring for a patient just transferred from the PACU following an abdominal hysterectomy. a. A nurse is evaluating a group of clients who are experiencing pain. medication. Moving into a nursing homeic when a patient is in intractable C) Placebos are never recommended in the treatment of pain. ), Fear of addiction 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 Nurses have a priority responsibility for the continual assessment of the client's pain level and to provide individualized interventions. The requirement for higher drug doses results in a greater drug tolerance, which is a physical dependency as opposed to addiction, which is a psychological dependency. 1. The dose range is usuallyhigher with cancer patients. Which of the following statements by the patient refers to pain quality? The other options are all good answers for this patient because of the patients age and disease process. 2) cold for inflammation The nurse knows that the child is at greatest risk for which acid- a. acidosis b. C) Health promotion and exercise The pain-medication orders are written as a combination of an opioid analgesic and a C) When having to report the patients addiction to her physician C) Use the Visual Analog Scale (VAS). Which of the following statements by the client refers to pain quality? The patient receiving PCA with IV morphine sulfate 2 mg every 15 min with a 30mg/4hr lockout. 3) Genetic sensitivity, which can increase or decrease pain tolorance Chronic pain is constant or intermittent pain that persistste pain 6) Antiemetics: ondansetron (Zofran), Pharmacological Interventions: PCA is a medication delivery system that allows clients to self-administer safe doses of opioids, 1) small, frequent dosing ensures consistent plasma levels Determining a client's response to a diureticc. C) Monitor for a paradoxical increase in pain with opioid administration. View All Products Facebook Question of the Week B) Long-term intrathecal or epidural catheter Feedback: It won't be cheap but money isn't the reason why students in the U.S. seek the services of premium writers. The family would also need to monitor the IV site and notify the nurse of any changes, such as infiltration, that could endanger the patient. Offering spiritual as (PCA) pump. Feedback: What principle should guide the nurses use of placebusing placebos in theos in Skills Modules 3.0. A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. You are the emergency department (ED) nurse caring for an adult patient who was in a motoaccident. 6) neuropathy D) Cancer pain is often misreported by patients because of confusion related to their disease process. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. A) Assessment for decreased level of consciousness (LOC) Find (a) the rate of change of y with respect to x and (b) the relative rate of change of y. before he got cancer because he broke his back about 20 years ago. Nonpharmacological interventions indeed reduce pain and their use is not limited to practitioners outside the healthcare team. What is thee nurse why he has had "I will keep the morphine bottle in a locked cabinet in my kitchen. Because elderly people have a slower metabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of analgesic agents may be sufficient to relieve pain, and these doses may be effective longer. You cannot usually treat pain the patient denies having if the orders are PRN onlyscenario does not indicate the present pain-management orders are not working for this patient. (TENS) Pain Management: Determining Pain Quality Chapter 41-Schedual pain mangment around the clock when needed. Analyze this decision in light of the perceptual matters relating to branding. nonsteroidal anti-inflammatory drug (NSAID) given together. 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. Ans: A Increasing his exercise and activities to create distractions is unrealistpain and this recommendation conveys the attitude that the pain is not real. B) You may have become immune to the effects of the drug. 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. C) Provide patient and family teaching regarding the operation of the pump, monitoring the IV siteand knowing the side effects of the medication. Ans: A Menstrual discomfort. The patient receiving PCA with IV morphine sulfate 2mg every 15 min with a 30mg/4hr lockout. market environment. Before administering medications such as narcotics for the first time, the nurse should assess for any previous allergic reactions. The nurse checks the PCA monitor and determines that the patient has made six attempts within the last hour. D) Neuropathy, Ans: D 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. Notes payable are currently $7 million. A Creating autonomy is important, but need is a poorly defined concept. In lints chart. This patientght of the [Show more] Preview 3 out of 26 pages B) One of the patients is exaggerating his or her sense of pain. A 60-year-old patient who has diabetes had a below-knee amputation 1 week ago. D) The patient may want to relocate to long-term care in order to have his ADL needs met. What is the nurses best response? However, thnurse would be most concerned about in terms of ensuring safety. Low levels of pain are easier to reduce or control than intense levels of pain. A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. Ans: B Ice helps decrease swelling and pain. 2) instructing clients to report developing or recurrent pain and not wait until pain is sever (for PRN pain medication) should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiolonociceptive pain? NSAIDs do not act directly on the aspects of transmission, perception, or modulation of pain that are listed. Which of the following statements should the nurse include? Ans: C 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: 3) neuropathic pain is usually intense, shooting, burning, or described as "pins and needles" A patient who has been experiencing frequent, severe migraine headaches tells the nurse she has heard that biofeedback is effective in treating migraines. True or false? Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . Cancert/family Regardless of how patients cope with chronic pain, pain that lasts for an extended period can result in depression, anger, or emotional withdrawal. Ans: D 61 Comments Please sign inor registerto post comments. Check the IV site and PCA pump for proper functioning. Help students master more than 180 essential nursing skills from the convenience of an online skills lab. 5) Glucocorticoids: dexamethasone (Decadron) D) Intramuscular analgesia The wife of a patient you are caring for asks to speak with you. You are the home health nurse caring for a homebound client who is terminally ill. You are delipatient-controlled analgesia (PCA) pump to the patient at your visit today. Which of the following should the nurse know in order to use this pain scale? ), Stress : 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). trigeminal neuralgia. A) Depression Because elderly people have a slowermetabolism and a greater ratio of body fat to muscle mass compared with younger people, small doses of