A nurse is conducting an in-service for staff members about the Emergency Medical Treatment and Active Labor Act. Which of the following statements by a staff member indicates an understanding of this act?

"A client can be discharged to another facility if their behavior is unsafe and inappropriate."

"A client can be discharged to another facility if their condition is terminal."

"A client can be discharged to another facility if they are unable to pay for services received."

"A client can be discharged to another facility when their condition stabilizes”

Answer and Explanation

The Correct Answer is D

A. The Emergency Medical Treatment and Active Labor Act requires that emergency care be provided regardless of the client’s behavior, as long as the client is seeking treatment for an emergency medical condition.

B. EMTALA requires that a client receive a medical screening and stabilization before being transferred, regardless of whether the condition is terminal. A terminal diagnosis does not justify transferring a client without stabilization first.

C. EMTALA prohibits discrimination based on a client’s ability to pay. A client cannot be transferred or discharged from an emergency department based on their inability to pay for services.

D. EMTALA requires that a client must be stabilized before being transferred to another facility. This ensures that the client is not placed at risk by the transfer, and the new facility is prepared to manage their care appropriately.

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Correct Answer is B

Explanation

A. Cyclobenzaprine: Cyclobenzaprine is a muscle relaxant used to treat muscle spasms, not neuropathic pain. It is not the appropriate medication for managing pain associated with peripheral neuropathy.

B. Gabapentin: Gabapentin is commonly prescribed for neuropathic pain, such as that associated with peripheral neuropathy. It works by affecting the way nerves transmit pain signals, making it an effective treatment for chronic nerve pain.

C. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, but it is typically not effective for neuropathic pain. It is more commonly used for conditions involving inflammation, such as arthritis.

D. Oxycodone: Oxycodone is an opioid pain medication that is generally reserved for severe pain. While it may be prescribed for acute pain, it is not the first-line treatment for chronic neuropathic pain due to its potential for dependence and side effects.

A. Place the client in a room with negative-pressure airflow. B. Ensure visitors use a surgical mask when they enter the client's room. C. Remove isolation gown before removing gloves. D. Use designated equipment that stays in the client's room.

Correct Answer is D

Explanation

A. Place the client in a room with negative-pressure airflow: Negative-pressure airflow is used for airborne precautions. MRSA requires contact precautions, which include placing the client in a private room or a room with others who have the same infection.

B. Ensure visitors use a surgical mask when they enter the client's room: Surgical masks are not required for MRSA unless there is a respiratory complication. For MRSA, visitors should use gloves and gowns for contact precautions, but a mask is not necessary.

C. Remove isolation gown before removing gloves: The gown should be removed after the gloves to prevent contamination. The gloves should be removed first to avoid touching any surfaces with contaminated hands, and then the gown can be safely removed.

D. Use designated equipment that stays in the client's room: To prevent the spread of MRSA, designated equipment (such as blood pressure cuffs, stethoscopes, and thermometers) should stay in the client's room. This minimizes risk of cross-contamination and ensures infection control.

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A nurse is conducting an in-service for staff members about the Emergency Medical Treatment and Active Labor Act. Which of the following statements by a staff member indicates an understanding of this act?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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