Initial resuscitation in adult patients should:

Correct Answer: A

Rationale: The correct answer is A because initial resuscitation in adult patients should start with 1-2L of crystalloid to restore intravascular volume. This helps improve tissue perfusion and oxygen delivery. Monitoring the patient's response (B) is important but not the initial step. Using crystalloid to normalize BP (C) may lead to fluid overload. Permissive hypotension in patients with head injury (D) is contraindicated as it can worsen cerebral perfusion.

Correct Answer: C

Rationale: The correct answer is C: Investigating and resolving resident complaints. Ombudsmen are designated to address concerns and complaints from residents in a fair and unbiased manner. They advocate for residents' rights and work to resolve issues within long-term care facilities. Choice A and B are incorrect as they involve tasks typically handled by staff members or managers, not ombudsmen. Choice D is incorrect as organizing outings and activities is not a primary responsibility of an ombudsman, whose focus is on addressing complaints and ensuring quality of care.

Correct Answer: C

Rationale: The correct answer is C because stating Mr. Castillo's blood pressure as 5/6 is an objective fact that can be measured and verified. It is not influenced by personal opinions or interpretations. Option A involves a subjective judgment of his mood, B relies on his verbal report which may not be accurate, and D is a subjective assessment of his relationship with others. Objective information is factual, measurable, and impartial, making C the most suitable choice.

Correct Answer: A

Rationale: The correct answer is A because distracting the resident or directing them to a private area is the best response to inappropriate sexual behavior. This approach respects the resident's dignity and privacy while also preventing further disturbance. Ignoring the behavior (choice B) may not address the issue or prevent it from reoccurring. Letting the resident know others are upset (choice C) could shame or embarrass them, leading to further negative outcomes. Discussing the behavior with other residents (choice 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 typically manifests with symptoms like redness, swelling, warmth, and drainage from a specific area. Drainage is a result of the body's immune response to infection, as it tries to remove the infectious material. Chills (A) and headache (B) are more commonly associated with systemic infections affecting the whole body, while mental confusion (D) is a sign of a severe systemic infection or other medical conditions. Therefore, C is the most specific and direct sign of a localized infection.