Which of the following statements concerning intraosseous infusion is TRUE?

Correct Answer: B

Rationale: The correct answer is B because aspiration of bone marrow confirms appropriate needle positioning in intraosseous infusion. This step ensures that the needle is within the medullary space, allowing for safe and effective administration of fluids or medications. Option A is incorrect because various fluids, including blood products and medications, can be infused via intraosseous route. Option C is incorrect as intravenous access is preferred over intraosseous in small children. Option D is incorrect since intraosseous infusion is a temporary measure until vascular access is established.

Correct Answer: C

Rationale: The correct answer is C: Chest x-ray. Before transferring the patient for neurosurgical care, a chest x-ray is mandatory to assess for any potential thoracic injuries that may impact respiratory function during transport. This is crucial to ensure the patient's stability and prevent any complications. Choice A, FAST exam, is typically used to evaluate for intra-abdominal injuries and is not directly related to the patient's immediate need for neurosurgical care. Choice B, Lateral cervical spine x-ray, may be important for assessing cervical spine injuries, but in this scenario, the patient is already in full spinal protection and the priority is to address potential thoracic injuries that could affect respiratory function. Choice D, Administration of methylprednisolone, is not indicated as a mandatory step prior to transport for neurosurgical care. While it may be considered as part of the treatment plan later on, it is not an immediate requirement for safe transport in this case.

Correct Answer: B

Rationale: The correct answer is B: "Preparation for laparotomy while initiating fluid resuscitation." In this scenario, the patient is hemodynamically unstable with signs of hypovolemic shock. The priority is to address the source of bleeding, which is likely intra-abdominal due to the stab wound. Therefore, preparing for a laparotomy to control the bleeding is crucial. Fluid resuscitation should be initiated to stabilize the patient's hemodynamics and improve tissue perfusion. This approach addresses the immediate life-threatening issue and is the most appropriate course of action to prevent further deterioration. Explanation for other choices: A: "Transfusion of FFP and platelets" - This option does not address the immediate need for controlling bleeding and stabilizing the patient's hemodynamics. C: "Resuscitation with crystalloid and pRBC until base excess is normal" - While fluid resuscitation is necessary, waiting for base excess to normalize may delay definitive treatment and compromise the

Correct Answer: D

Rationale: The correct answer is D, the resident. The resident is the most important member of the care team because they are the primary individual receiving care and treatment. Their well-being and health outcomes are the main focus of the care team's efforts. The resident's needs and preferences guide the care plan and decision-making process. The other choices (A: The nurse, B: The nursing assistant, C: The physician) play crucial roles in supporting the resident's care, but ultimately, the resident is the central figure in the care team.

Correct Answer: D

Rationale: The correct answer is D because when a nursing assistant is suspected of abuse, it is crucial to prioritize the safety and well-being of the residents. Suspending the nursing assistant immediately helps protect residents from potential harm and allows for a thorough investigation to be conducted without interference. This ensures that the situation is addressed promptly and appropriately. A: Holding a meeting with staff members and residents may compromise the investigation and confidentiality. B: Allowing the nursing assistant to continue working can put residents at risk and hinder the investigation process. C: Revealing the name of the person who reported the abuse can discourage others from coming forward and breach confidentiality. In summary, choice D is the correct step to take in such a situation to ensure resident safety, conduct a fair investigation, and maintain confidentiality.