A 47 year old house painter is brought to the hospital after falling 6 meters from a ladder and landing straddled on a fence. Examination of his perineum reveals extensive ecchymosis. There is blood in the external urethral meatus. The initial diagnostic study for evaluation of the urinary tract in this patient should be:

Correct Answer: D

Rationale: The correct initial diagnostic study for evaluating the urinary tract in this patient is "Retrograde urethrography" (Choice D). Rationale: 1. Retrograde urethrography is the appropriate choice because the patient has blood in the external urethral meatus, indicating a possible urethral injury. 2. This imaging technique involves injecting contrast material into the urethra to visualize any urethral abnormalities or injuries. 3. It is a non-invasive and effective method to assess the extent of urethral trauma in cases like this. 4. Cystoscopy (Choice A) is not the initial study of choice in this scenario as it primarily visualizes the bladder and may not provide adequate information about urethral injuries. 5. Cystography (Choice B) and IV pyelography (Choice C) are not appropriate in this case as they focus on assessing the bladder and kidneys, respectively, which are not the primary concerns based on the patient's

Correct Answer: C

Rationale: The correct answer is C: Return charts to their proper place after use. This is the best way for a nursing assistant to keep residents' health information confidential because it ensures that sensitive information is stored securely and not left out in the open where unauthorized individuals can access it. By returning charts to their proper place, the nursing assistant is following proper protocol for maintaining confidentiality and upholding the residents' right to privacy. Choice A is incorrect because discussing a resident's information away from the facility does not guarantee confidentiality and can still risk unauthorized disclosure. Choice B is incorrect as bringing family and friends to the facility can compromise residents' privacy and confidentiality. Choice D is incorrect as posting updates about residents on social media violates their right to privacy and confidentiality.

Correct Answer: B

Rationale: The correct answer is B: Chest pain. Chest pain could be a sign of a serious medical condition like a heart attack, which requires immediate attention. Reporting chest pain to the nurse promptly can lead to timely intervention and potentially save a resident's life. Choices A, C, and D are incorrect as they do not pose immediate life-threatening risks and can be addressed at a later time. Family visiting, watching too much TV, and acting lonely are important aspects of resident care but do not require urgent reporting compared to a potentially critical symptom like chest pain.

Correct Answer: A

Rationale: The correct answer is A: Give the resident time to speak. This is important because individuals with functional barriers may need more time to communicate effectively. By allowing the resident time to speak, the nursing assistant shows respect and promotes effective communication. Removing oxygen (B) or inserting a tracheostomy tube (C) before the resident speaks may hinder communication and potentially harm the resident. Insisting that the resident speak (D) disregards their needs and can lead to frustration and ineffective communication.

Correct Answer: C

Rationale: The correct answer is C: Wash her hands. By washing her hands, the nursing assistant effectively removes any potential pathogens that may be on her hands after handling dirty equipment in the utility room. This step is crucial in preventing the spread of infections to other areas of the facility. Changing gloves (A) may not be sufficient if hands are not washed. Disinfecting equipment (B) is important but does not address potential contamination on hands. Closing the door securely (D) does not directly address the issue of transferring pathogens via hands.