A nurse is assisting with teaching a class about medically futile treatment. The nurse should include which of the following as an example of medically futile treatment?
Administering an antiemetic to a client who has post chemotherapy nausea
Administering a narcotic analgesic to a client who has end stage cancer
Administering oral care for a client who has post chemotherapy mucositis
Administering chemotherapy to a client who has metastatic cancer
The Correct Answer is D
Choice A reason: This statement is incorrect because administering an antiemetic to a client who has post chemotherapy nausea is not medically futile. It is a supportive measure that can help the client to manage the side effects of chemotherapy and improve their comfort and quality of life.
Choice B reason: This statement is incorrect because administering a narcotic analgesic to a client who has end stage cancer is not medically futile. It is a palliative measure that can help the client to relieve their pain and suffering and improve their comfort and quality of life.
Choice C reason: This statement is incorrect because administering oral care for a client who has post chemotherapy mucositis is not medically futile. It is a preventive measure that can help the client to avoid infections and complications and improve their oral health and hygiene.
Choice D reason: This statement is correct because administering chemotherapy to a client who has metastatic cancer is medically futile. It is a curative measure that has no reasonable chance of achieving its intended goal of eradicating the cancer or prolonging the client's survival. It may also cause harm or distress to the client by exposing them to unnecessary risks and side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A sentinel event is a serious adverse event that results in death, permanent harm, or severe temporary harm to a patient. Administering incompatible blood products to a client is a sentinel event because it can cause fatal hemolytic reactions.
Choice B reason: Administering client medications 30 minutes late is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Medication errors are common and preventable, and they should be reported and analyzed to improve patient safety.
Choice C reason: Documenting vital signs at the wrong time in the client’s electronic health record is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Documentation errors are also common and preventable, and they should be corrected and avoided to ensure accurate and timely information.
Choice D reason: Administering a prescribed sedative to a client for insomnia is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Sedatives are commonly used to treat insomnia, and they should be prescribed and administered with caution and monitoring⁵.
Correct Answer is D
Explanation
Choice A reason: If client is uninsured the ED can decline to render services is not an information that the nurse should include in the teaching. This is a false statement that contradicts the purpose and the provision of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who requests it, regardless of their insurance status or ability to pay.
Choice B reason: The ED has the right to refuse to provide client services is not an information that the nurse should include in the teaching. This is a false statement that violates the principle and the requirement of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department has a duty to provide stabilizing treatment to any individual who has an emergency medical condition or is in active labor, unless an appropriate transfer is arranged.
Choice C reason: The ED can transfer medically unstable clients to other facilities is not an information that the nurse should include in the teaching. This is a false statement that breaches the rule and the regulation of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must not transfer an individual who has an emergency medical condition or is in active labor, unless the transfer is requested by the individual or their representative, or the transfer meets certain criteria, such as the benefits outweigh the risks, the receiving facility has agreed to accept the transfer, and the transfer is effected by qualified personnel and equipment.
Choice D reason: Clients must receive a medical screening evaluation (MSE) is an information that the nurse should include in the teaching. This is a true statement that reflects the essence and the standard of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who comes to the emergency department and requests examination or treatment for a medical condition, to determine whether or not an emergency medical condition exists
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