Initial resuscitation in adult patients should:

Correct Answer: A

Rationale: The correct answer is A because initial resuscitation in adult patients should focus on restoring intravascular volume, which is effectively achieved with 1-2L of crystalloid fluids. This helps improve tissue perfusion and overall hemodynamics. Monitoring the patient's response (choice B) is important but secondary to the immediate need for volume replacement. Using crystalloid to normalize blood pressure (choice C) is not recommended as the sole goal, as other factors like tissue perfusion also need to be considered. Permissive hypotension (choice D) is contraindicated in patients with head injury as it can worsen brain perfusion.

Correct Answer: C

Rationale: The correct answer is C: Investigating and resolving resident complaints. An ombudsman's primary responsibility is to advocate for residents in long-term care facilities, ensuring their rights are upheld and addressing any concerns or complaints they may have. Ombudsmen investigate complaints, mediate disputes, and work towards resolving issues to improve the quality of care for residents. Choices A, B, and D are incorrect because they do not align with the core duties of an ombudsman, which focus on protecting residents' rights and addressing complaints rather than specific care procedures, staff disputes, or recreational activities.

Correct Answer: C

Rationale: The correct answer is C because it provides measurable and verifiable data - Mr. Castillo's blood pressure is 5/6. This information is objective as it can be confirmed through a physical measurement. Option A is subjective as it is based on perception. Option B is also subjective as it relies on Mr. Castillo's self-reporting. Option D is subjective as it is based on personal relationships and interactions. In contrast, option C stands out as the only choice that presents factual, quantifiable information, making it the correct example of objective information.

Correct Answer: A

Rationale: The correct answer is A because distracting the resident or directing them to a private area is the most appropriate and professional way to address inappropriate sexual behavior. This response respects the resident's privacy, maintains their dignity, and prevents further escalation. Ignoring the behavior (B) may lead to normalization or reinforcement. Informing the resident that others are upset (C) may cause embarrassment and worsen the situation. Discussing the behavior with other residents (D) violates the resident's privacy and confidentiality.

Correct Answer: C

Rationale: The correct answer is C: Drainage from a wound or cavity. Localized infection often results in the accumulation of pus or fluid at the site of infection, leading to drainage. This is a clear sign of the body trying to expel the infectious material. Chills (A) and headache (B) are more systemic symptoms commonly associated with systemic infections. Mental confusion (D) is a sign of a severe infection affecting the central nervous system, not specific to localized infections. Therefore, the presence of drainage is a key indicator of a localized infection.