A 22 year old male presents following a motorcycle crash. He complains of the inability to move his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21 nasal prongs. Chest x-ray, pelvic x-ray and FAST are normal. Extremities are normal. His management should be:

Correct Answer: B

Rationale: The correct answer is B: 2L of iv crystalloid and vasopressors if BP does not respond. This patient presents with symptoms of spinal cord injury with hypotension, which indicates neurogenic shock. Initial management involves fluid resuscitation to maintain perfusion. If the BP does not respond to fluids, vasopressors are indicated to support blood pressure. The other choices are incorrect because the patient does not have signs of hemorrhagic shock, so transfusing pRBCs (choice A) is unnecessary. Mannitol and steroids (choice C) are not indicated in the acute management of spinal cord injury. Laparotomy (choice D) is not indicated based on the clinical presentation.

Correct Answer: B

Rationale: The correct answer is B: A watch. A watch is the best type of jewelry for an NA to wear to work because it is both functional and professional. It helps the NA keep track of time during their shift and is a practical accessory in a healthcare setting. A broach, bracelet, and necklace may pose safety hazards or interfere with patient care tasks. A watch is subtle, non-intrusive, and serves a practical purpose without compromising professionalism.

Correct Answer: B

Rationale: The correct answer is B: Weight loss. Weight loss can be a sign of neglect as it may indicate lack of proper nutrition or medical care. Neglect can lead to unintentional weight loss due to inadequate food intake or untreated medical conditions. Burns shaped in certain ways, changing doctors frequently, and wearing makeup to hide injuries are not necessarily direct signs of neglect. Burns can be accidental, changing doctors may be due to personal preferences or insurance reasons, and wearing makeup to hide injuries could be a sign of abuse rather than neglect. Weight loss, on the other hand, is a more clear indicator of neglect as it directly relates to the individual's overall well-being and care.

Correct Answer: D

Rationale: The correct answer is D because electronic documentation contains confidential information that should only be accessed by authorized personnel. Nursing assistants must maintain patient privacy to uphold ethical standards and protect sensitive data. Choice A is incorrect as the focus is on external threats rather than internal privacy concerns. Choice B is incorrect because the federal government does not monitor all computers in LTC facilities. Choice C is incorrect as it assumes residents are the primary privacy concern rather than unauthorized individuals.

Correct Answer: A

Rationale: The correct answer is A. When a resident becomes combative, it is important to try to find out what triggered the behavior to address the root cause. This helps in providing appropriate care and support. Choice B is incorrect as leaving the resident alone may escalate the situation. Choice C is incorrect as threatening to remove the resident can worsen the behavior. Choice D is incorrect as arguing with the resident can further agitate them. Overall, the best approach is to understand the trigger to provide effective care.