A trauma patient presents to your emergency department with inspiratory stridor and a suspected C-spine injury. Oxygen saturation is 88% on high-flow oxygen via a nonrebreathing mask. The most appropriate next step is to:

Correct Answer: D

Rationale: The correct answer is D: Maintain inline immobilization and establish a definitive airway. In a trauma patient with inspiratory stridor and a suspected C-spine injury, maintaining inline immobilization is crucial to prevent worsening of the spinal injury. Establishing a definitive airway is necessary to secure the patient's airway and improve oxygenation. Immediate tracheostomy (choice B) is too invasive and carries risks. Applying cervical traction (choice A) can worsen the C-spine injury. Inserting bilateral thoracostomy tubes (choice C) is not indicated for a patient with stridor and a C-spine injury.

Correct Answer: D

Rationale: The correct answer is D. Applying oxygen and maintaining airway is the first step in treatment for an unresponsive patient to ensure proper oxygenation and ventilation. This step is crucial in preventing hypoxia, which can lead to further complications. Administering vasopressors (choice A) is not necessary initially as the priority is airway management. Establishing IV access for drug-assisted intubation (choice B) is premature without ensuring adequate oxygenation first. Seeking the cause of decreased level of consciousness (choice C) can be done after ensuring airway patency and oxygenation.

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 it aligns with ethical standards and professional boundaries in healthcare. Accepting gifts from residents can lead to conflicts of interest or perceptions of favoritism. By refusing the gift but expressing gratitude, the NA maintains professionalism and avoids potential ethical dilemmas. Choice B is incorrect as it involves deflecting responsibility onto the employer and does not address the core issue of maintaining professional boundaries. Choice C is incorrect because confidentiality does not mitigate the ethical concerns of accepting gifts from residents. Choice D is incorrect as it encourages accepting the gift, which can compromise professional integrity.

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.