The nurse admits a patient to a research unit that is gathering data on the efficacy of a specific drug to treat cancer pain
The patient knows that placebos are going to be used for a specific group of patients in the study population but does not know that he is receiving a placebo. When is it ethically acceptable to use placebos?
A) Anytime in a research study
B) Only when the patient is unaware of it
C) When it replaces an active drug to show the patient's symptoms are false
D) In experimental research when the patient knows placebos are being used and is involved in the decision-making process
Ans: D
Feedback: Placebos may be used in experimental research in which a patient is involved in the decision-making process and is aware that placebos are being used in the treatment regimen. Placebos may not ethically be used anytime the researcher wants to use them, when the patient does not know about it, or to prove the patient's symptoms are false.
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A nurse assesses a client who has a chest tube. For which manifestations should the nurse immediately intervene? (Select all that apply.)
a. Production of pink sputum b. Tracheal deviation c. Sudden onset of shortness of breath d. Pain at insertion site e. Drainage of 75 mL/hr
A client is undergoing radiation therapy and asks the nurse about skin care for the exposed area. Which statement by the nurse is most accurate?
a. "No products work well to reduce the skin reactions you get from radiation." b. "No one product works best, so you can choose what you would like to use." c. "The only medication that works well for skin reactions is very expensive." d. "No good studies on skin care with radia-tion have been conducted to date."
The parent of a young patient asks the nurse why the child should receive the measles-mumps-rubella vaccination. What is the nurse's best response?
1. "Your child will develop immunity to these illnesses even without the vaccination, but at a slower rate." 2. "The child can always receive the vaccination later." 3. "Receiving the vaccination will cause your child to develop active acquired immunity, which will protect against the development of these illnesses." 4. "I know the Centers for Disease Control expects everyone to have this vaccination, but you can always refuse."
Chaos in health care has been the driving force in creating which of the following new leadership opportunities for nurses?
A. Advanced nurse certification and a clinical practice doctorate in nursing B. Patient care delivery teams and use of more ancillary healthcare workers C. Nurse Resource Position for department and SWAT Team for hospital emergencies D. Electronic documentation and Inter-net-driven communication with hospital employees