A nurse is caring for a group of uninsured clients in the emergency department of a private hospital. Which of the following actions should the nurse identify as a violation of a client's rights according to the Emergency Medical Treatment and Active Labor Act (EMTALA)?
A client was placed in the waiting room based on their triage assessment.
A client was transferred to the inpatient antepartum unit to rule out preterm labor.
A client was referred to the county hospital for medical screening evaluation.
A stable client was transferred to a public hospital that provides reduced-cost care.
The Correct Answer is C
A. "A client was placed in the waiting room based on their triage assessment." Hospitals can prioritize clients based on triage assessment as long as they receive a medical screening examination and stabilizing treatment if necessary.
B. "A client was transferred to the inpatient antepartum unit to rule out preterm labor." EMTALA requires that hospitals evaluate and stabilize clients with emergency medical conditions, including preterm labor. Transferring a client within the same facility for further evaluation does not violate EMTALA.
C. "A client was referred to the county hospital for medical screening evaluation." Under EMTALA, hospitals must provide a medical screening examination and necessary stabilizing treatment before referring or transferring a client, regardless of their insurance status. Sending a client elsewhere for evaluation without treatment is a violation.
D. "A stable client was transferred to a public hospital that provides reduced-cost care." Once a client has been stabilized, hospitals may arrange for transfer to another facility, provided the transfer meets EMTALA guidelines and is in the client's best interest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Cardiopulmonary:
Encourage deep-breathing exercises.
Check for pain.
Rationale:
Encouraging deep-breathing exercises helps improve oxygenation and prevent complications such as atelectasis, especially since the client's oxygen saturation initially dropped but improved with deep breathing.
Checking for pain is essential as the client has been prescribed PRN morphine for pain management.
"Inform client to achieve two to four breaths per session when using an incentive spirometer" is not selected because while incentive spirometer use is encouraged, the prescribed plan instructs use every hour while awake rather than focusing on a specific number of breaths per session.
Gastrointestinal:
Promote intake of oral fluids.
Apply barrier ointment after bowel movements.
Rationale:
Promoting oral fluid intake helps prevent dehydration and supports bowel function, especially since the client reports multiple loose stools and nausea/vomiting.
Applying barrier ointment after bowel movements helps protect the skin from irritation and breakdown due to frequent loose stools.
"Encourage the client to increase fiber in their diet" is not selected because fiber intake is usually increased for constipation, whereas in this case, the client has diarrhea, and fiber could worsen symptoms.
Correct Answer is B
Explanation
A. Dose The dose (5 mg) is clearly stated.
B. Time The prescription does not specify the frequency (e.g., every 4 hours PRN pain). The nurse should clarify how often the medication should be given.
C. Medication The medication (morphine) is clearly stated.
D. Route The route (IV bolus) is clearly specified.
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