Question

In: Nursing

Mr. Jimbo complains of severe headaches and requests morphine, a narcotic pain medication, to control his...

Mr. Jimbo complains of severe headaches and requests morphine, a narcotic pain medication, to control his pain. A physician orders Ibuprofen 800 mg for Mr. Jimbo’s headaches and tells the nurse, “Under no circumstances are you to tell Mr. Jimbo what type of medication I ordered for his pain. Just tell him it is his pain med. He is just an addict that wants narcotics.”After the physician leaves, Mr. Jimbo asks for pain medication. You bring the Ibuprofen tablets. Mr. Jimbo asks, “What is it?”How do you respond? What ethical principles can be applied?

Solutions

Expert Solution

According to the 10 rights of administration of medication, the last right is the right to provide adequate education and information about the drug,its usage and side effects. In the above situation. Patient has a tendency for drug dependence and addiction of narcotic drug, and also the physician instructed to say as pain medication, you can go for that option with the ethical consideration of avoidance of drug malpractice. But ensure safety from your side as documentation with physician's verbal and written instructions which is duly signed up.


Related Solutions

In sickle cell anemia the patient also complains of severe pain and has a possibility of...
In sickle cell anemia the patient also complains of severe pain and has a possibility of organ failure. Why do these occur? please use APA format and add the references.
A 48-year old male complains of severe epigastric pain that is worse after eating x 3...
A 48-year old male complains of severe epigastric pain that is worse after eating x 3 weeks. Symptoms are accompanied by nausea but the patient denies vomiting or diarrhea at this time. Reports stools as “normal” in color and consistency. Discuss what questions you would ask the patient, and what physical exam elements you would include.
Gary, a middle aged salesman, complains of a burning pain in the pit of his stomach,...
Gary, a middle aged salesman, complains of a burning pain in the pit of his stomach, usually beginning about two hours after eating and abating after drinking a glass of milk. When asked to indicate the site, he points to the epigastric region. the GI tract is examined by x-ray. A gastric ulcer is visualized and drug therapy using an antibiotic-bismuth approach is recommended. a) why is this treatment suggested b) what are possible consequences of non-treatment?
A man sees his doctor for severe pain in his lower abdominal area, elevated temperature and...
A man sees his doctor for severe pain in his lower abdominal area, elevated temperature and nausea. Tests rule out an abdominal obstruction or infection, but show the presence of blood in his urine. X-rays show a shadow in his right ureter. Diagnose the problem and give the suggested treatment.
1) An older man sees his doctor for severe pain in his lower abdominal or flank...
1) An older man sees his doctor for severe pain in his lower abdominal or flank area, elevated temperature, and nausea. Exhaustive tests rule out abdominal obstructions and infections. Plain X-rays indicate a radiopaque (whitish) spot in the area of his right ureter. Diagnose his problem. Give suggested treatment and prognosis. 2) What clinical effects would low blood pressure have on the kidneys of a burn patient? 3) Eleven-year-old Harry is complaining of a severe sore throat and gets to...
A 50 year old male presents to the ER complaining of severe pain in his left...
A 50 year old male presents to the ER complaining of severe pain in his left toe. The pain was sudden in onset and he describes the pain as sharp and non radiating. He is having difficulty bearing weight on his foot. His past medical history is significant for essential hypertension which is well controlled with an Ace inhibitor. Examination is significant for an inflamed first metatarsal phalangeal joint. In passing, he states that he enjoys a good meal, like...
Mr. W., a 26-year-old man, entered the emergency department with complaints of fever, severe abdominal pain,...
Mr. W., a 26-year-old man, entered the emergency department with complaints of fever, severe abdominal pain, and nausea. He denied any health problems but disclosed a daily intake of four to six beers per day. An abdominal computed tomography (CT) scan performed on admission revealed pancreatic inflammation and intraabdominal ascites. He was admitted to the step-down unit for the management of acute pancreatitis. His treatment plan included intravenous antibiotics, pain control, and management of alcohol withdrawal. Within 48 hours of...
Mr. W., a 26-year-old man, entered the emergency department with complaints of fever, severe abdominal pain,...
Mr. W., a 26-year-old man, entered the emergency department with complaints of fever, severe abdominal pain, and nausea. He denied any health problems but disclosed a daily intake of four to six beers per day. An abdominal computed tomography (CT) scan performed on admission revealed pancreatic inflammation and intraabdominal ascites. He was admitted to the step-down unit for the management of acute pancreatitis. His treatment plan included intravenous antibiotics, pain control, and management of alcohol withdrawal. Within 48 hours of...
A 65-year-old male presented with severe pain in his left thumb and right big toe, which...
A 65-year-old male presented with severe pain in his left thumb and right big toe, which was accompanied by inflammation and erythema of the joints. The client had previously been diagnosed with acute gouty arthritis approximately 5 years ago but had not experienced another acute attack since his original diagnosis. The patient had been steadily gaining weight over the last few years and was now about 50 lbs overweight. He stated that he drinks about a six-pack of beer every...
A 45-year-old grocery sales clerk has been suffering from bouts of severe pain in his left...
A 45-year-old grocery sales clerk has been suffering from bouts of severe pain in his left flank region. He blamed it on prolonged standing for 8 hours straight while working. He was taking over-the-counter pain medications for his pain. One day, he found fresh blood in his urine. He went to a doctor who performed urine tests, CT scans, and x-rays. He was diagnosed with urinary calculi. Discuss possible factors that may have been responsible for the development of the...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT