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. In this scenario, the patient is likely experiencing spinal shock leading to neurogenic shock, causing hypotension. Initial management should focus on fluid resuscitation with crystalloids to address hypovolemia. If the blood pressure does not respond to fluid resuscitation, vasopressors should be initiated to maintain perfusion. Choice A does not address the potential neurogenic shock, and giving blood transfusions without evidence of active bleeding is not indicated. Choice C with mannitol and steroids is not appropriate for this patient. Choice D with laparotomy is not indicated as there are no signs of abdominal trauma.

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 functional and professional. A watch helps keep track of time and ensures punctuality, a crucial aspect of any job. A broach, bracelet, or necklace may be distracting, noisy, or not suitable for some work environments. Additionally, a watch is a subtle accessory that complements a professional appearance without being overly flashy or distracting.

Correct Answer: B

Rationale: Weight loss is considered a sign of neglect because it can indicate lack of proper nutrition and care. Neglect can lead to inadequate food provision, resulting in weight loss. Burns shaped in certain ways, changing doctors frequently, and wearing makeup to hide injuries are not definitive signs of neglect as they can have various explanations unrelated to neglect.

Correct Answer: D

Rationale: The correct answer is D because electronic documentation contains confidential information that should only be accessed by authorized personnel. It is important for nursing assistants to maintain privacy to protect patient information from unauthorized access. Choice A is incorrect as it focuses on external threats rather than internal privacy concerns. Choice B is incorrect as there is no evidence of the federal government monitoring computers in LTC facilities in the context of this question. Choice C is incorrect as it assumes residents are the main concern, rather than the potential for unauthorized individuals to view confidential information.

Correct Answer: A

Rationale: The correct answer is A because trying to find out what triggered the behavior helps identify the root cause and address it effectively. It promotes understanding and empathy, leading to better communication and problem-solving. Leaving the resident alone (B) may worsen the situation. Threatening removal (C) can escalate the behavior. Arguing (D) is confrontational and unproductive. A is the best approach as it focuses on addressing the underlying issue.