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 C

Explanation

A. Providing lab results to the parent without the client's consent violates the client’s right to privacy under HIPAA (Health Insurance Portability and Accountability Act).
B. While the healthcare provider may discuss results, the nurse must first ensure the client has given consent for the parent to receive medical information.
C. Since the client is an adult (22 years old), their medical information is confidential. The nurse can only share information with the parent if the client provides explicit consent.
D. This response is inappropriate and dismissive, potentially damaging the nurse-client relationship. A professional and respectful explanation should be given.

A. Holding hands below elbows when rinsing. B. Lathering using a circular movement. C. Washing for a total of 20 seconds. D. Turning the water off using bare hands.

Correct Answer is D

Explanation

A. Holding hands below elbows when rinsing is a correct technique to prevent contamination of washed hands.
B. Lathering using a circular movement is a correct technique for thorough handwashing.
C. Washing for a total of 20 seconds is in line with the recommended duration for effective handwashing.
D. Turning the water off using bare hands can potentially recontaminate the hands. Instead, a paper towel or elbow should be used to turn off the faucet after washing hands to prevent recontamination. Therefore, this action by the UAP requires additional teaching.

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

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Naxlex Comprehensive Predictor Exams

A 22-year-old client is admitted to the hospital in diabetic ketoacidosis (DKA. The client's parent is insisting to know the laboratory test results. Which is the best response for the nurse to provide?

Correct Answer is C

Explanation

The nurse observes an unlicensed assistive personnel (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

Correct Answer is D

Explanation

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