The health care provider prescribes a placebo instead of pain medication. Which intervention should the nurse implement?

Administer the placebo as prescribed when the client reports pain.

Tell the charge nurse about the prescribed placebo and refuse to administer it.

Inform the client that the provider prescribed a placebo instead of pain medication.

Discuss ethical concerns about placebo use with the healthcare provider.

Answer and Explanation

The Correct Answer is D

A.   Administering the placebo as prescribed when the client reports pain is ethically questionable.
Placebos are typically used in research or clinical trials and should not be administered without the client's informed consent and understanding.
B.   While informing the charge nurse about the prescribed placebo is appropriate, refusing to administer it without further action may not address the ethical concerns surrounding placebo use.
C.   Informing the client that the provider prescribed a placebo instead of pain medication is important for transparency and informed consent. However, this should be accompanied by discussing the ethical considerations with the healthcare provider.
D.   Discussing ethical concerns about placebo use with the healthcare provider is the most appropriate intervention. This ensures that the nurse advocates for the client's well-being and addresses any potential ethical issues surrounding the use of placebos in pain management.

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Correct Answer is B

Explanation

A. Connect the nasogastric tube to suction as prescribed: "Coffee ground" drainage can indicate the presence of blood in the stomach, which requires further assessment before initiating suction.
B. Clamp the nasogastric tube and contact the healthcare provider: Clamping the tube helps
prevent further aspiration of gastric contents, and contacting the healthcare provider is necessary for further evaluation and instructions.
C. Immediately remove and then reinsert the nasogastric tube: While removing and reinserting the tube may be necessary, contacting the healthcare provider for guidance is the priority.
D. Connect the nasogastric tube to high continuous suction: Initiating suction without further evaluation can exacerbate bleeding and is not appropriate without guidance from the healthcare provider.

A. Elevate the head of the bed to a 45-degree angle. B. Remove dentures or other oral appliances. C. Lift and lock the side rails in place. D. Apply the client's positive airway pressure device.

Correct Answer is D

Explanation

A. Elevating the head of the bed to a 45-degree angle is important for clients with obstructive sleep apnea (OSA to help prevent airway obstruction during sleep. However, applying the
positive airway pressure device is a more immediate and direct intervention to ensure adequate breathing.
B. Removing dentures or other oral appliances may be necessary for comfort and safety during sleep, but it's not directly related to managing obstructive sleep apnea in this scenario.
C. Lifting and locking the side rails in place is a standard safety measure in healthcare settings but does not address the client's obstructive sleep apnea or ensure adequate ventilation.
D. Applying the client's positive airway pressure (PAP) device is the most important intervention before leaving the client. The PAP device helps maintain an open airway by delivering
continuous positive airway pressure, which is crucial for managing obstructive sleep apnea and preventing complications such as apnea episodes during sleep.

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The health care provider prescribes a placebo instead of pain medication. Which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a prescription for the insertion of a nasogastric tube to low intermittent suction. When inserting the nasogastric tube, the nurse observes an immediate return of "coffee ground" drainage. Which action should the nurse implement?

Correct Answer is B

Explanation

The nurse places an opioid patch on the chest of a client with intractable pain who also has obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client?

Correct Answer is D

Explanation

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