A 70 year old suffers blunt chest trauma after being struck by a car. On presentation, his GCS is 15, BP is 145/90, HR is 72. RR is 24 and O2-sat on 5L is 91%. Chest x-ray demonstrates multiple right sided rib fractures. ECG demonstrates normal sinus rhythm with no conduction abnormalities. Management should include:

Correct Answer: C

Rationale: The correct answer is C: "Monitored i.v analgesia." In this scenario, the patient presents with rib fractures causing chest pain and respiratory distress. The primary goal is pain management to improve respiratory function and prevent complications like pneumonia. IV analgesia will help control pain effectively. Option A is incorrect as chest tube placement is not indicated in this scenario. Option B is not necessary as there are no signs of cardiac injury on ECG. Option D, thoracic splinting, is not the primary management for rib fractures and may not provide adequate pain relief.

Correct Answer: A

Rationale: The correct answer is A, missing teeth or hair. This is a sign of physical abuse as it indicates harm inflicted on the individual. Missing teeth or hair can result from physical violence or forceful actions. Ripped clothing (B) may suggest neglect or rough handling, but not necessarily abuse. Pressure injuries (C) can also indicate neglect, but are not specific to abuse. Unanswered call lights (D) may indicate neglect or understaffing, but do not directly point to abuse.

Correct Answer: B

Rationale: The correct answer is B because exiting the web browser after finishing charting helps maintain confidentiality and security of patient information. Leaving the browser open can expose sensitive data to unauthorized access. Choice A is incorrect as it is not directly related to work responsibilities. Choice C is incorrect as personal interest websites are not work-related. Choice D is incorrect as sharing passwords violates security protocols.

Correct Answer: C

Rationale: Step 1: Combative behavior can be caused by underlying medical conditions or medications. Step 2: Understanding the root cause helps in managing and addressing the behavior effectively. Step 3: Recognizing the potential medical reasons is crucial for providing appropriate care. Step 4: Therefore, choice C is correct. Summary: Choice A is incorrect as combative behavior may not be specific to a person. Choice B is incorrect as it is a concern for staff and residents. Choice D is incorrect as any concerning behavior should be reported for proper intervention.

Correct Answer: B

Rationale: The correct answer is B because breaking tasks into smaller steps helps residents with developmental disabilities understand and complete tasks more easily. This approach promotes independence and empowers the resident. Choice A is incorrect as communication should still be attempted through other means. Choice C is incorrect as residents should be treated with respect regardless of behavior. Choice D is incorrect as it can lead to dependency and hinder the resident's development.