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 ["A","B","D","E","G"]

Explanation

A. Prepare to prevent respiratory or cardiac arrest: The client's decreased level of consciousness and respiratory rate of 10 breaths/minute indicate a potential risk for respiratory or cardiac arrest. Immediate measures to maintain airway patency and support ventilation may be necessary.
B. Stop infusion of magnesium: The client's decreased level of consciousness and absent deep tendon reflexes (DTR) bilaterally are signs of magnesium toxicity. Stopping the infusion of magnesium sulfate is essential to prevent further complications.
C. Increasing IV fluids is not a priority in management of magnesium toxicity.
D. Obtain serum magnesium level: With signs of magnesium toxicity, obtaining a serum magnesium level is necessary to confirm the diagnosis and guide further management.
E. Administer oxygen: The client's oxygen saturation of 93% on room air indicates hypoxemia.
Administering oxygen via nasal cannula to maintain oxygen saturation greater than 96% helps prevent further respiratory compromise.
F. Obtaining blood pressure is not a priority.
G. Administer calcium gluconate: Calcium gluconate is the antidote for magnesium toxicity.
Since the client is showing signs of magnesium toxicity (decreased level of consciousness and absent DTRs), administering calcium gluconate is necessary to counteract the effects of magnesium
H. Caesarian delivery is not part of management for magnesium toicity.

A. Body mass index (BMI) 28 kg/m2 B. Sister with type 2 diabetes mellitus C. Cannabis use D. High density lipoprotein 43 mg/dL

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

Body mass index (BMI) is a measure of body fat based on height and weight., A BMI of 25 to 29.9 is considered overweight. Being overweight is a known modifiable risk factor for type 2 diabetes mellitus. The client can potentially lower his risk of developing diabetes by adopting a healthier lifestyle, which may include diet and exercise to achieve a healthier BMI.

Family history is a known risk factor for type 2 diabetes mellitus. Having a first- degree relative with diabetes increases a person's risk of developing the condition. This risk factor is non-modifiable as one cannot change their genetic makeup or family history.

There is no conclusive evidence that links occasional cannabis use to an increased risk of developing type 2 diabetes mellitus. However, lifestyle choices are generally considered modifiable risk factors. It's important to consider the overall lifestyle and health behaviors of the individual.

HDL cholesterol is often referred to as "good" cholesterol. Higher levels of HDL cholesterol are associated with a lower risk of heart disease, which is a common comorbidity of diabetes.An HDL level lower than the recommended range is a modifiable risk factor as it can often be increased through lifestyle changes such as diet and exercise.

While HDL levels are not a direct risk factor for diabetes, they are related to the overall metabolic health of an individual, which can influence the risk of developing type 2 diabetes.

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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

Exhibits The nurse reviews the assessment findings along with the physician orders. Which immediate interventions would the nurse initiate? Select all that apply

Correct Answer is ["A","B","D","E","G"]

Explanation

Exhibits Review History and Physical, and laboratory results. Based on the finding, indicate whether the finding represents a modifiable risk factor, a non modifiable risk factor, or is unrelated to type 2 diabetes mellitus.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

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