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. Maintaining inline immobilization and establishing a definitive airway is crucial in this scenario to secure the patient's airway given the presence of inspiratory stridor and potential C-spine injury. Performing a tracheostomy (B) or inserting thoracostomy tubes (C) are not indicated as the primary concern is airway management. Applying cervical traction (A) can exacerbate the C-spine injury and is not the priority over securing the airway to ensure oxygenation.

Correct Answer: D

Rationale: The correct answer is D because in a trauma scenario, ensuring airway patency and oxygenation is the priority to prevent hypoxia, especially in an unresponsive patient. Administering vasopressors (A) is not the initial step as the focus should be on airway management first. Establishing IV access for drug-assisted intubation (B) is important but not the first step. Seeking the cause of decreased level of consciousness (C) can be done after securing the airway and providing oxygen. Thus, applying oxygen and maintaining the airway (D) is the most critical initial intervention.

Correct Answer: C

Rationale: The correct answer is C: "Escharotomy." An escharotomy is a surgical procedure done to release constriction caused by eschar (burned tissue) in order to restore circulation and prevent ischemia. In this case, the patient has circumferential burns on the right arm leading to absent pulses, indicating compromised blood flow. Performing an escharotomy will relieve the pressure, restore blood flow, and prevent further tissue damage and potential limb loss. Choice A: "Fasciotomy" is incorrect as fasciotomy is usually performed in cases of compartment syndrome, which is a different condition from constriction due to burns. Choice B: "Angiography" is incorrect as it is a diagnostic procedure to visualize blood vessels, not a treatment for constriction caused by burns. Choice D: "Heparinization" is incorrect as heparinization is a treatment for blood clotting disorders and not indicated in this scenario of compromised blood flow due to burns.

Correct Answer: A

Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest or appear as favoritism. By refusing the gift but thanking the resident, the nursing assistant maintains a professional boundary and ethical practice. Choice B is incorrect as it involves blaming the employer and is unprofessional. Choice C is incorrect as confidentiality does not address the ethical concerns of accepting gifts. Choice D is incorrect since accepting the gift without refusal goes against professional boundaries.

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 confidential. Choice B is correct as it aligns with the residents' right to voice grievances. Choice C respects the resident's right to be informed. Choice D empowers the resident in making choices, respecting their autonomy.