Which of the following will be missed by DPL?

Correct Answer: A

Rationale: The correct answer is A because DPL (Diagnostic Peritoneal Lavage) is primarily used to detect intra-abdominal bleeding. Subcapsular hematoma of the spleen is a type of intra-abdominal bleeding that can be detected using DPL due to the accumulation of blood in the spleen. Liver laceration, bowel injury, and pancreatic injury may also lead to intra-abdominal bleeding, but they are not specific to the purpose of DPL, which is to detect bleeding. Therefore, A is the correct choice as it directly relates to the main objective of using DPL.

Correct Answer: B

Rationale: The correct answer is B: Reassess the position of the endotracheal tube. This is the next step because the patient has decreased breath sounds on the left side, indicating a potential issue with the endotracheal tube placement. Reassessing the position ensures proper oxygenation and ventilation. Immediate needle cricothyroidotomy (A) is not indicated as the patient is already intubated. Chest tube insertion (C) is not the immediate priority as the decreased breath sounds are likely due to endotracheal tube misplacement. Immediate needle thoracentesis (D) is not the correct step as there is no indication of a tension pneumothorax based on the patient's vital signs.

Correct Answer: B

Rationale: The correct answer is B because Medicare and Medicaid reimburse long-term care facilities based on the resident's need for services upon admission and throughout their stay. This is determined through assessments of the resident's health condition, functional status, and care requirements. The reimbursement is directly tied to the level of care provided to ensure that residents receive appropriate services. Choice A (The resident's background) is incorrect because reimbursement is not based on the resident's personal history but on their current health and care needs. Choice C (The size of the facility) is incorrect as reimbursement is not determined by the facility's size but by the individual resident's care requirements. Choice D (The financial contributions from the resident's family) is incorrect as Medicare and Medicaid payments are not influenced by the resident's family contributions but are solely based on the resident's care needs.

Correct Answer: A

Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest, compromise professionalism, and potentially lead to ethical concerns. Accepting gifts from residents may blur boundaries and impact the nursing assistant's objectivity and impartiality in providing care. B: Reporting abuse is a professional responsibility. C: Being punctual is a professional behavior. D: Maintaining a positive, pleasant, and tactful demeanor is also a professional behavior.

Correct Answer: A

Rationale: The correct answer is A because using an interpreter ensures accurate communication and understanding between the nursing assistant and the resident. This approach respects the resident's language and cultural differences, promoting effective care. Choice B is incorrect as ignoring the resident impedes communication and does not promote learning. Choice C is incorrect as communicating in a different language in front of the resident may make them feel isolated and excluded. Choice D is incorrect as limiting communication to yes/no questions hinders the resident's ability to express their needs and preferences effectively.