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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Liquid brown drainage from the stoma is abnormal and could indicate bowel content leakage, suggesting a potential connection between the bowel and the conduit or possible infection. This is a critical finding and should be reported immediately.
- B: A stomal output of 40 mL in the last hour is within normal limits postoperatively, as urine production can vary and this amount does not suggest acute complications.
C. A red and edematous stomal appearance is normal in the immediate postoperative period and indicates adequate blood supply to the stoma.
- D: Mucous strings in the drainage are normal because mucus is produced by the intestinal lining, which is now part of the urinary diversion. This is an expected finding and not a cause for immediate concern.
Correct Answer is ["B","C","D","E"]
Explanation
A. Explaining the purpose of a low bacteria diet is not directly relevant to the management of osteomyelitis or MRSA infection. This intervention would not be included in the plan of care.
B. Using standard precautions and wearing a mask is essential when caring for a client with an open draining wound, especially when MRSA infection is suspected. This helps prevent the spread of infection to healthcare workers and other clients.
C. Sending wound drainage for culture and sensitivity is important to identify the causative organism and determine the most effective antibiotic therapy.
D. Monitoring the client's white blood cell count is important for assessing the client's response to treatment and detecting any signs of worsening infection.
E. Instituting contact precautions for staff and visitors is necessary to prevent the transmission of MRSA to others. This includes wearing gowns and gloves when entering the client's room and ensuring proper hand hygiene practices are followed.
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