A patient presents at a small rural medical clinic after falling from a ladder. The physician suspects that the patient may have intracranial injuries but no diagnostic equipment to determine the severity of injury is available

What is necessary for the physician to legally transfer this unstable patient? Choose all that are correct. 1. Physician certification that the medical benefits of transferring the patient outweigh the risks of transfer
2. Confirmation that the incident causing the injuries was accidental
3. Documentation that the receiving hospital has available space
4. Documentation that the transferring hospital is a qualified Medicare provider
5. An agreement with the receiving hospital stating willingness to provide care


1, 3, 5
Rationale: In order for transfer of an unstable patient to meet EMTALA requirements the physician must certify that the benefits outweigh risks, that the receiving hospital has space and facilities for the care, and that the receiving hospital agrees to provide care.

Nursing

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Which of the following could cause a nurse to be cited for malpractice?

a. Refusing to give 60 mg of morphine as ordered b. Giving prochlorperazine (Compazine) to a patient allergic to phenothiazines c. Dragging an injured motorist off the highway and causing further injury d. Informing a visitor about a patient's condition

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The nursing class is studying monoclonal antibodies. What monoclonal antibody reacts to human T cells, disabling them and acting as an immune suppressor?

A) Adalimumab B) Cetuximab C) Rituximab D) Muromonab-CD3

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The nurse is caring for a Spanish-speaking client admitted for exacerbation of chronic obstructive pulmonary disease (COPD). The client speaks very little English and is a smoker. Which action would be the most beneficial for this client?

A) Have the adult child of the client translate during the assessment process B) Encourage aerobic activity C) Encourage the client to write down questions prior to seeing the healthcare provider D) Obtain educational materials about smoking cessation written in Spanish.

Nursing

The nurse is assessing a patient suspected of having a substance use disorder. The nurse understands that individuals with a substance use disorder display some symptoms that are universal regardless of the substance involved

Which symptoms of substance use disorder will the nurse include in the assessment? Select all that apply. 1. Disregard for religious beliefs while abusing the substance 2. Absence of desire to quit abusing the substance 3. Need for greater amounts of the substance to achieve the same effect 4. Neglect of normal activities due to focus on obtaining or using more of the substance 5. Persistent craving for the substance

Nursing