An 18 y/o man presents with paralysis in both legs and arms after a motorcycle crash. His BP is 60/40 and pulse 140 bpm. He should:

Correct Answer: C

Rationale: The correct answer is C: Be treated for hypovolemic shock. The patient's low blood pressure (60/40) and rapid pulse (140 bpm) indicate hypovolemic shock due to significant blood loss from the crash. Treating hypovolemic shock involves administering fluids to restore blood volume and improve perfusion to vital organs. This is crucial to stabilize the patient's condition before further interventions. Choice A (Undergo exploratory celiotomy) is incorrect as it is not the immediate priority in this case. Choice B (Be treated for neurogenic shock) is incorrect because the patient's symptoms are more indicative of hypovolemic shock. Choice D (Undergo immediate nasotracheal intubation) is also incorrect as the priority should be addressing the hypovolemic shock first to stabilize the patient's condition.

Correct Answer: C

Rationale: The correct answer is C: Skilled nursing facilities. Long-term care involves ongoing assistance with daily activities for individuals who are unable to care for themselves. Skilled nursing facilities provide 24-hour nursing care, rehabilitation services, and assistance with activities of daily living. Hospitals (A) focus on acute care rather than long-term care. Adult day services facilities (B) offer daytime care and activities but not 24-hour care. Ambulatory surgical centers (D) provide outpatient surgical procedures, not long-term care. Skilled nursing facilities best meet the comprehensive care needs for long-term care residents.

Correct Answer: A

Rationale: The correct answer is A because a policy is a predetermined course of action that guides decision-making and behavior in specific situations. It is not an action that must be taken every time a situation occurs, a specific method of doing something, or the chain of command within a facility. Policies are guidelines for consistent and effective decision-making, not just routine actions or specific methods.

Correct Answer: D

Rationale: The correct answer is D: Durable Power of Attorney for Health Care. This is an example of an advance directive because it allows an individual to appoint someone to make healthcare decisions on their behalf if they become unable to do so. This document specifically addresses medical treatment preferences and end-of-life care. A: Last Will and Testament deals with distribution of assets after death, not healthcare decisions. B: Power of Attorney grants authority over legal and financial matters, not healthcare decisions. C: Divorce Decree is a legal document dissolving a marriage, not related to healthcare directives. In summary, the Durable Power of Attorney for Health Care is the correct choice as it specifically pertains to healthcare decision-making in advance.

Correct Answer: A

Rationale: Rationale: A is correct because talking to the nurse before the meeting allows the nursing assistant to clarify what information is relevant and ensure alignment with the care plan. By communicating with the nurse beforehand, the nursing assistant can contribute effectively during the care conference. Summary of other choices: B: Not attending the meeting would result in missed opportunities to provide valuable input. C: Attending the meeting but not saying anything defeats the purpose of participation and collaboration. D: Asking other team members at the meeting what they need to know may lead to inconsistency and lack of clarity in the information shared.