2 Which of the following is an example of objective information?

Correct Answer: C

Rationale: The correct answer is C because stating Mr. Castillo's blood pressure as 5/6 is an objective fact that can be measured and verified. It is not influenced by personal opinions or interpretations. Option A involves a subjective judgment of his mood, B relies on his verbal report which may not be accurate, and D is a subjective assessment of his relationship with others. Objective information is factual, measurable, and impartial, making C the most suitable choice.

Correct Answer: C

Rationale: The correct answer is C: Drainage from a wound or cavity. Localized infection typically manifests with symptoms like redness, swelling, warmth, and drainage from a specific area. Drainage is a result of the body's immune response to infection, as it tries to remove the infectious material. Chills (A) and headache (B) are more commonly associated with systemic infections affecting the whole body, while mental confusion (D) is a sign of a severe systemic infection or other medical conditions. Therefore, C is the most specific and direct sign of a localized infection.

Correct Answer: D

Rationale: The correct answer is D because bloodborne diseases are primarily transmitted through contact with infected blood or body fluids. This includes activities such as sharing needles, sexual contact, or exposure to contaminated blood. Choices A, B, and C are incorrect as hugging, touching objects, and standing close to an infected person do not typically lead to transmission of bloodborne diseases. It is essential to understand the specific modes of transmission for different types of diseases to prevent their spread effectively.

Correct Answer: A

Rationale: The correct answer is A (4-6 minutes) because when breathing and heartbeat stop, the brain is deprived of oxygen. Brain cells start to die within 4-6 minutes without oxygen, leading to irreversible damage. Choice B (8-0 minutes) is incorrect as brain damage occurs much sooner than 8 minutes. Choice C (0-5 minutes) is incorrect because damage starts to occur after 4 minutes. Choice D (5-20 minutes) is incorrect as brain damage can occur within 4-6 minutes, not 20.

Correct Answer: C

Rationale: The correct answer is C. Reporting to the charge nurse is the best response as it involves notifying the appropriate authority figure to handle the situation professionally. Restraint (choice D) is a violation of the resident's rights and can lead to legal repercussions. Counseling (choice A) may not always be effective in deterring the resident from leaving. Reminding the resident of their illness (choice B) may not address the underlying reasons for wanting to leave. By reporting to the charge nurse, the resident's safety and well-being can be ensured through proper protocols and decision-making.