22 hours ago a. The patient is just complaining to see whether the staff will give out pain medications. b. The patient has referred pain sensations. The nurse should follow orders for administering pain medication. c. The patient has an injury on the back from an unknown cause that needs immediate assessment. d. >> Go To The Portal
The patient is in severe pain. Hence the patient needs to be administered an analgesic. The nurse should not wait to treat the patient's pain. The nurse cares for a postoperative patient receiving epidural analgesia. The patient is resistant to the nurse's encouragement to turn, cough, and breathe deeply.
The nurse should not assume the patient is exaggerating the pain because the patient is the best authority of his or her existence of pain, and definitions for pain state that pain is "whatever the person says it is, existing whenever the experiencing person says it does."
When addressing the patient's pain in her plan of nursing care, the nurse should consider what characteristic of cancer pain? A) Cancer pain is often related to the stress of the patient knowing she has cancer and requires relatively low doses of pain medications along with a high dose of anti-anxiety medications.
A medical nurse is appraising the effectiveness of a patients current pain control regimen. The nurse is aware that if an intervention is deemed ineffective, goals need to be reassessed and other measures need to be considered. What is the role of the nurse in obtaining additional pain relief for the patient? A) Primary caregiver
The effects of opioid analgesic medications must be monitored, especially when the first dose is given or when the dosage is changed or given more frequently. The time, date, patient's pain rating, analgesic agent, other pain relief measures, any adverse reactions, and patient activity should be recorded.
The principle of beneficence is upheld when the appropriate amount of medication or other treatment is administered to the patient in a timely fashion resulting in the best pain control with acceptable side effects.
With analgesic medications, the nurse should assess for decrease in pain 30 minutes after IV administration and 60 minutes after oral medication. If the patient's pain level is not acceptable, the nurse should investigate alternate treatment modalities.
Adverse Effects Respiratory depression is among the more serious adverse reactions with opiate use that is especially important to monitor in the postoperative patient population.
Important factors include (with considerable regional, financial, and cultural differences) the following: 1) failure to identify pain as a priority in patient care; 2) failure to establish an adequate physician–patient relationship; 3) insufficient knowledge regarding adequate prescription of analgesics; 4) ...
The principle of beneficence is a moral obligation to act for the benefit of others.
Monitor for decreased respirations. Opioids may decrease the patient's cough reflex. Therefore, it is important to have the patient turn, cough, and deep breath regularly to prevent atelectasis. Give the opioid drug at least 30-60 minutes prior to activities or painful procedures.
Analgesics, also commonly known as painkillers, are medications primarily used to relieve pain, such as a headache, muscle and neuropathic pain, as well as pain related to trauma and fractures. Analgesics can be subdivided into two main groups: non-opioid analgesics, and opioid analgesics.
take acetaminophen exactly as directed on the prescription or package label. Do not take more acetaminophen or take it more often than directed, even if you still have fever or pain. Ask your doctor or pharmacist if you do not know how much medication to take or how often to take your medication.
Adverse outcomes associated with longer term use include central sleep apnea, endocrine dysfunction, opioid-induced hyperalgesia, opioid use disorder and signs of acute toxicity.
One of the most dangerous adverse effects of opioid analgesics is respiratory depression. Assessment of the patient's respiratory status should be performed regularly, particularly during the first 24 hours of opioid therapy.
Common side effects of opioid administration include sedation, dizziness, nausea, vomiting, constipation, physical dependence, tolerance, and respira- tory depression. Physical dependence and addiction are clinical concerns that may prevent proper prescribing and in turn inadequate pain management.
1. The length of time that a nurse should leave heat to an injured hip of a patient is no longer than: a. 15 minutes. b. 20 minutes. c. 30 minutes. d. 1 hour. ANS: C. If a heating device is left on more than 30 minutes, the effectiveness of the treatment is diminished, and injury to the tissues may occur.
A nurse notices that a patient seems calm and peaceful despite an assessment that the patient's injuries might be causing severe pain. The patient tells the nurse that using yoga and meditation lessens the perceptions of pain to tolerable levels.
d. The nurse will use heat treatment because heat will increase circulation and increase the threat of infection in the injured part. Patients with PVD have blood flow problems that physiologically slow circulation.
The nursing care plan reflects secondary diagnoses of peripheral vascular disease (PVD), diabetes, and an allergy to latex. Which of the prescribed treatments should the nurse administer and why?
Morphine is usually given in a dose of 10 mg (one-sixth grain) IM. The usual oral dose is 0.5 gr (30 mg). The order should be called to the attention of the RN so that the intent can be clarified before transcribing the order for the older patient, who usually requires a smaller dose.
However, pain in specific areas may be referred pain, and left arm discomfort is typically referred from the heart. The nurse administers the analgesic as ordered and frequently checks to determine whether the pain is relieved.
Heat will increase the circulation, which would be a desired effect. 5. A nurse notices that a patient seems calm and peaceful despite an assessment that the patient's injuries might be causing severe pain. The patient tells the nurse that using yoga and meditation lessens the perceptions of pain to tolerable levels.
The nurse checks the medical record and sees the patient has an order for morphine 4 to 8 mg every 1 to 2 hour IV as needed for pain. The nurse sees this medication has not been administered yet so the nurse administers 4 mg.
After the patient returns to the floor, the patient's daughter tells the nurse she is concerned that her mother will overdose on morphine because she keeps pressing the button on her patient-controlled anesthesia (PCA) pump.
The desired and beneficial action of narcotic antagonists is as follows: Narcotic antagonists are drugs that bind strongly to opioid receptors but do not activate them. They block the opioid receptors and reverse the effects of opioids like respiratory depression and sedation.
Narcotic Agonists – react with opioid receptors in the CNS; cause analgesia, sedation, or euphoria. They are classified as controlled substances because they have potential for physical dependence. Narcotic Agonists-Antagonists – stimulate certain opioid receptors but block other such receptors.
The desired and beneficial action of triptans is: Antimigraine agents are drugs used to treat migraine headaches, a type of headache that is pounding and is associated with nausea, vomiting, and light sensitivity. There are two antimigraine agents available now: ergot derivatives and triptans.
Contraindications and Cautions. The following are contraindications and cautions for the use of narcotic antagonists: Allergy to narcotic antagonists. Prevent hypersensitivity reaction. Pregnancy, lactation. Potential adverse effects to the fetus and the baby.
Maintain open airway and provide artificial ventilation and cardiac massage as needed to support the patient. Administer vasopressors as ordered and as needed to manage narcotic overdose. Administer naloxone challenge before giving naltrexone because of the serious risk of acute withdrawal.
These agents exert their effect on the brain and spinal cord to alter the way impulses from peripheral nerves are processed. As a result, pain perception and tolerance are altered.
Therapeutic Action. The desired and beneficial actions of ergot derivatives are as follows: Antimigraine agents are drugs used to treat migraine headaches, a type of headache that is pounding and is associated with nausea, vomiting, and light sensitivity.