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

Explanation

A. Young children, especially toddlers who engage in hand-to-mouth activities and play on aging outdoor playground equipment, are at high risk of lead poisoning due to potential exposure to
lead-based paint or contaminated soil.
B. While children with certain medical conditions may be more susceptible to the effects of lead poisoning, such as those with iron deficiency anemia or poor nutrition, having Type 1 diabetes mellitus does not directly increase the risk of lead exposure.
C. Children living in housing projects may be at increased risk of lead exposure due to deteriorating paint or other environmental factors, but the specific activity of playing on aging outdoor playground equipment poses a more immediate risk.
D. Adolescents working in environments where lead exposure is possible, such as a paint factory, are at risk of lead poisoning. However, the scenario of playing on aging outdoor playground
equipment presents a higher risk due to the potential for direct contact with lead-based paint or contaminated soil during play.

A. Acknowledge that the PN has positioned the client safely and correctly. B. Arrange for unlicensed assistive personnel to assist the PN during the procedure. C. Assume care of the client and assign the PN to the care of a different client. D. Demonstrate to the PN how to position the client more effectively for the procedure.

Correct Answer is D

Explanation

- A: This choice is incorrect because a flat prone position is not safe or correct for a sigmoidoscopy; the client should be in a left lateral or Sims' position.
- B: This choice is not directly related to the immediate need of correcting the client's position for the procedure.
- C: Assuming care of the client does not address the immediate issue of the client's incorrect positioning for the sigmoidoscopy.
- D: Demonstrating the correct positioning ensures the safety and effectiveness of the procedure, which is the nurse's responsibility.

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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 conducting Intake Interviews of children at a city clinic. Which child is most susceptible to contracting lead poisoning?

Correct Answer is A

Explanation

The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?

Correct Answer is D

Explanation

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