Which of the following will be missed by DPL?

Correct Answer: A

Rationale: The correct answer is A: "Subcapsular hematoma of the spleen" because DPL (Diagnostic Peritoneal Lavage) is a diagnostic procedure used to assess for intra-abdominal injuries, particularly to organs like the liver, bowel, and pancreas. A subcapsular hematoma of the spleen is an injury specific to the spleen, which is not directly evaluated by DPL. The other choices (B: Liver laceration, C: Bowel injury, D: Pancreatic injury) are all potential injuries that can be detected by DPL due to their location within the abdominal cavity and the presence of free intra-abdominal fluid.

Correct Answer: B

Rationale: The correct answer is B: Reassess the position of the endotracheal tube. In this scenario, the patient is showing signs of tension pneumothorax with decreased breath sounds on the left side and hypoxemia. Reassessing the position of the endotracheal tube is crucial to ensure proper ventilation and oxygenation. Immediate needle cricothyroidotomy is not indicated as the patient is already intubated. Chest tube insertion would be the definitive treatment for tension pneumothorax, but reassessing the endotracheal tube should be the initial step. Immediate needle thoracentesis is not indicated in this case as tension pneumothorax is more likely.

Correct Answer: B

Rationale: The correct answer is B because Medicare and Medicaid payments to long-term care facilities are determined by the resident's need for services, as assessed upon admission and throughout their stay. This is based on the level of care required by the resident, such as medical needs, assistance with activities of daily living, and specialized care. The payments are not influenced by the resident's background (A), the size of the facility (C), or the financial contributions from the resident's family (D). These factors do not dictate the reimbursement rates set by Medicare and Medicaid, which are primarily focused on the level of care needed by the resident.

Correct Answer: A

Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest, blur professional boundaries, and compromise the nursing assistant's objectivity. Accepting gifts may also be against the facility's policies and ethical guidelines. Incorrect choices: B: Reporting abuse is a professional duty. C: Being punctual is a professional behavior. D: Maintaining a positive attitude and being pleasant are attributes of professionalism.

Correct Answer: A

Rationale: The correct answer is A because using an interpreter ensures effective communication, respecting the resident's language and promoting understanding. Option B is incorrect as it disregards the resident's needs. Option C is incorrect as it excludes the resident and may be perceived as disrespectful. Option D is incorrect as it limits communication and may not provide the necessary information. In summary, using an interpreter is essential for effective communication and respectful care.