A 15 year old male is brought to the ED after being involved in a motor vehicle crash. He is unconscious and was intubated at the scene by emergency personnel. Upon arrival at the ED, the patient's oxygen saturation is 92%, HR is 96 bpm and BP is 150/85. Breath sounds are decreased on the left side of the thorax. The next step is:

Correct Answer: B

Rationale: The correct answer is B: Reassess the position of the endotracheal tube. In this scenario, the patient is showing signs of tension pneumothorax with decreased breath sounds on the left side and hypoxemia. Reassessing the position of the endotracheal tube is crucial to ensure proper ventilation and oxygenation. Immediate needle cricothyroidotomy is not indicated as the patient is already intubated. Chest tube insertion would be the definitive treatment for tension pneumothorax, but reassessing the endotracheal tube should be the initial step. Immediate needle thoracentesis is not indicated in this case as tension pneumothorax is more likely.

Correct Answer: A

Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest, blur professional boundaries, and compromise the nursing assistant's objectivity. Accepting gifts may also be against the facility's policies and ethical guidelines. Incorrect choices: B: Reporting abuse is a professional duty. C: Being punctual is a professional behavior. D: Maintaining a positive attitude and being pleasant are attributes of professionalism.

Correct Answer: A

Rationale: The correct answer is A because using an interpreter ensures effective communication, respecting the resident's language and promoting understanding. Option B is incorrect as it disregards the resident's needs. Option C is incorrect as it excludes the resident and may be perceived as disrespectful. Option D is incorrect as it limits communication and may not provide the necessary information. In summary, using an interpreter is essential for effective communication and respectful care.

Correct Answer: C

Rationale: The correct answer is C because 3 rounds refer to a method of reporting where staff members make scheduled visits to each resident's room to check on their well-being, address any needs, and ensure proper care. This proactive approach allows for regular monitoring and early intervention if issues arise. A is incorrect as it refers to the assignment of residents to nursing assistants, not the concept of 3 rounds. B is incorrect as it describes a list of tasks to be completed, not the process of making rounds. D is incorrect as it pertains to meetings for care planning, not the routine practice of conducting rounds.

Correct Answer: A

Rationale: Transcultural nursing is the study of various cultures to provide culturally competent care. Choice A is correct as it highlights the focus on understanding different cultures to tailor care. Choice B is incorrect as it focuses on travel rather than cultural understanding. Choice C is incorrect as it pertains to a specific population, not all cultures. Choice D is incorrect as it does not specifically address the importance of cultural competence in nursing care.