A nurse is caring for a terminally ill client who is experiencing severe pain. The client’s physician has prescribed a dose of pain medication that the nurse believes is inadequate.

What should the nurse do?

Administer the prescribed dose and document the client’s response.

Administer a higher dose than prescribed without consulting the physician.

Refuse to administer the medication and leave the client in pain.

Consult with the physician and advocate for an increased dose.

Answer and Explanation

The Correct Answer is D

Consult with the physician and advocate for an increased dose.

Explanation: The nurse has an ethical responsibility to advocate for their client’s well-being, including ensuring that they receive adequate pain management. In this situation, the nurse should consult with the physician and advocate for an increased dose of pain medication to provide effective pain relief for their client.

Incorrect answers:

a. Administering the prescribed dose without advocating for an increased dose may not provide effective pain relief for the client.

b. Administering a higher dose than prescribed without consulting with the physician could be unsafe and could potentially harm the client.

c. Refusing to administer medication and leaving the client in pain would violate their right to receive adequate pain management.

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Correct Answer is C

Explanation

Provide accurate information

Explanation:Nurses have an ethical responsibility of veracity which means they must provide accurate information even when it may be difficult or distressing.In this situation,the nurse should provide accurate information about prognosis while also providing emotional support.

Incorrect answers:

a.Providing false or misleading information violates veracity

b.Refusing information violates patient autonomy

d.Avoiding discussion altogether violates patient autonomy

A. The nurse should respect the client’s autonomy and right to refuse treatment. B. The nurse should convince the client to accept the treatment. C. The nurse should administer the treatment against the client’s wishes. D. The nurse should ignore the client’s wishes and follow the physician’s orders.

Correct Answer is A

Explanation

The nurse should respect the client’s autonomy and right to refuse treatment.

Explanation: Autonomy is a fundamental principle of nursing ethics, which means that clients have the right to make decisions about their own care, including refusing treatment. The nurse’s ethical responsibility is to respect the client’s autonomy and support their right to make informed decisions about their care.

Incorrect answers:

b. Convincing the client to accept treatment against their wishes would violate their autonomy and right to make decisions about their own care.

c. Administering treatment against the client’s wishes would violate their autonomy and right to refuse treatment.

d. Ignoring the client’s wishes and following the physician’s orders would violate their autonomy and right to make decisions about their own care.

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A nurse is caring for a terminally ill client who is experiencing severe pain. The client’s physician has prescribed a dose of pain medication that the nurse believes is inadequate. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has requested information about their prognosis that the physician has not yet discussed with them. What should be done?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a client who has expressed religious beliefs that conflict with their medical treatment plan. What should the nurse do?

A nurse is caring for a terminally ill client who is experiencing severe pain. The client’s physician has prescribed a dose of pain medication that the nurse believes is inadequate.

What should the nurse do?