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 D

Explanation

A. Infection: While infection can cause localized redness and swelling, deep vein thrombosis (DVT) is a more likely cause given the client's immobility and other risk factors.
B. Fat emboli: Fat emboli typically occur after trauma or orthopedic procedures, and their presentation is less likely in this scenario.
C. Pulmonary embolism: While a pulmonary embolism is a potential complication of DVT, it presents with symptoms such as dyspnea, chest pain, and tachypnea, rather than localized redness and swelling in the calf.
D. Deep vein thrombosis: This condition, characterized by redness and swelling in the affected limb, is common in immobile patients and those with dehydration, making it the most likely cause of the client's symptoms.

A. Administer four 81 mg aspirin tablets providing instructions to chew before swallowing. B. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting edema. C. Place an indwelling urinary catheter and institute strict intake and output measurements. D. Secure client consent for coronary angiography and percutaneous coronary intervention.

Correct Answer is A

Explanation

A. Administer four 81 mg aspirin tablets providing instructions to chew before swallowing: Aspirin helps inhibit platelet aggregation and is commonly administered to clients with suspected acute coronary syndrome to reduce the risk of myocardial infarction.
B. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting edema: While assessing extremities is important, administering aspirin takes priority in clients with suspected acute coronary syndrome.
C. Place an indwelling urinary catheter and institute strict intake and output measurements: This intervention is not indicated in the immediate management of a client with suspected acute
coronary syndrome.
D. Secure client consent for coronary angiography and percutaneous coronary intervention: While these procedures may be necessary later, the immediate priority is to administer aspirin and stabilize the client's condition.

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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

The nurse is completing an admission assessment on an older adult client with dehydration, failure to thrive, and who is immobile. The nurse reports to the healthcare provider that the client's right calf is red and swollen. The nurse should suspect which probable cause of these findings?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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