A 25 year old male is brought to the hospital after sustaining partial and full thickness burns involving 60% of his body surface are His right arm and hand are severely burne There are obvious full thickness burns of the entire right hand and a circumferential burn of the right arm. Pulses are absent at the right wrist and are not detected by doppler examination. The first step in management of the right upper extremity should be:

Correct Answer: C

Rationale: The correct answer is C: "Escharotomy." In this scenario, the patient has a circumferential burn on the right arm with absent pulses at the wrist, indicating compartment syndrome. Escharotomy involves making incisions through the eschar (burned tissue) to relieve pressure and restore circulation. This is the initial step to prevent tissue damage and potential limb loss. Choice A, "Fasciotomy," is a more invasive procedure that involves cutting through the fascia to relieve pressure. It is typically done if escharotomy is ineffective. Choice B, "Angiography," is used to visualize blood vessels and is not the initial management for compartment syndrome in burns. Choice D, "Heparinization," is not indicated in this situation as the primary concern is restoring circulation and preventing further tissue damage.

Correct Answer: A

Rationale: The correct answer is A because sharing personal information about residents violates their right to privacy and confidentiality. Residents have the right to keep their personal information private. Choices B, C, and D promote residents' rights by ensuring their well-being, autonomy, and respect for personal choices. Helping a resident resolve a complaint (B) shows advocacy, informing a resident about a change of roommate (C) respects their right to be informed, and encouraging a resident to choose clothing (D) supports their autonomy.

Correct Answer: C

Rationale: The correct conversion of 7:45 p.m. to military time is 1945 hours. In military time, hours go from 0 to 23, so 7 p.m. is 1900 hours. To convert the minutes, simply add them to the hours, making it 1945 hours. Choice A (0745 hours) is incorrect because it represents 7:45 a.m. Choice B (975 hours) is incorrect as military time only goes up to 2359. Choice D (0775 hours) is incorrect because military time does not go beyond 2359.

Correct Answer: A

Rationale: Laura is displacing her anger from being reprimanded onto the resident. Displacement involves redirecting emotions from the original source to a less threatening target. This is evident as Laura's anger towards her supervisor is being expressed towards the resident. Regression (B) involves reverting to an earlier stage of development, which is not applicable here. Denial (C) is refusing to accept reality, unrelated to the scenario. Rationalization (D) involves justifying behavior, which is not seen in Laura's actions. Thus, the correct answer is A: Displacement.

Correct Answer: A

Rationale: The correct answer is A because it prioritizes the safety and well-being of the resident. By removing the resident from the situation immediately, the nursing assistant ensures that the abuse stops and the resident is protected. Reporting it to the nurse is crucial as the nurse is responsible for escalating the issue to the appropriate authorities for further investigation and intervention. Choice B is incorrect as ignoring the abuse enables the perpetrator to continue harming the resident. Choice C is incorrect as disclosing the abuse to the family may not lead to immediate action and can compromise the investigation. Choice D is incorrect as confronting the abuser puts the nursing assistant at risk and may escalate the situation.