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Exam (elaborations)

Med-Surg Exam 1

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A 49-year-old uninsured and unemployed client arrives at the emergency department of the local private hospital closest to home complaining of chest pain radiating between the shoulder blades, tightness in the neck, and nausea. The triage nurse calls the oncall provider, who instructs the nurse to send the client to the county hospital several blocks away. What federal law protects this client against refusal of care at the private hospital? 1. EMTALA 2. PSDA 3. HITECH 4. DPOA - correct answears1 A client has a wound that has been allowed to heal through secondary intention due to excessive loss of tissue. The physician is planning to suture the tissue together when the wound is ready. What should the nurse be monitoring to determine the readiness for delayed primary closure? 1. No evidence of edema, infection, or foreign matter 2. Small pearl-like or pink areas beginning to appear 3. Epithelial and dermal cells forming new skin 4. Platelets and fibroblasts migrating into the wound - correct answears1 A client is being discharged after being admitted for myocardial infarction. The physician wants the client to be monitored for vital signs while he or she is engaging in rehabilitation protocol. What type of informatics system could be suggested for reliable interface with client data? 1. Smart wearable body sensors 2. Real-time health monitor system 3. Personal fitness tracker 4. Telehealth monitoring - correct answears2 A client is placed under involuntary confinement for suicidal ideation. During this time, the nurse applies restraints to insert a urinary catheter. Which situation has occurred? 1. Neglect 2. Fraud 3. Assault 4. False imprisonment - correct answears4


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