Which one of the following statements is true regarding a pregnant patient who presents following blunt trauma?

Correct Answer: A

Rationale: The correct answer is A: "Early gastric decompression is important." In pregnant patients following blunt trauma, there is a risk of delayed gastric emptying and aspiration due to compression of the stomach by the gravid uterus. Early gastric decompression helps to prevent aspiration pneumonia and improve respiratory outcomes. Choice B is incorrect because a hemoglobin level of 10g/dl does not specifically indicate recent blood loss in a pregnant patient. Choice C is incorrect as pregnant patients can have a normal or exaggerated CVP response to volume resuscitation. Choice D is incorrect as a lap belt can cause direct pressure on the gravid uterus, increasing the risk of fetal injury during blunt trauma.

Correct Answer: A

Rationale: The correct answer is A: Report it at once to his supervisor. This is because reporting abuse to the supervisor is crucial to ensure proper investigation and intervention by trained professionals. Confronting the abuser (B) can escalate the situation and put the nursing assistant at risk. Trying to stop the abuse himself (C) could be dangerous and may not address the root cause of the abuse. Calling the resident's family (D) may not lead to immediate action or protection for the resident. Reporting to the supervisor is the most appropriate and effective way to handle suspected abuse.

Correct Answer: A

Rationale: The correct answer is A: Immediately after care is given. This is crucial for accuracy and timeliness in documenting important information. Documenting after care ensures that details are fresh in the mind and accurately captured. It also helps in providing a clear and concise record for continuity of care. On the other hand, option B (At the end of the shift) may lead to important details being forgotten. Option C (Whenever there is time) is not ideal as it may result in inconsistent documentation. Option D (Before the care is given) is incorrect as documentation should always reflect the actual care provided, not anticipated care.

Correct Answer: C

Rationale: The correct answer is C because the resident is being aggressive by criticizing the nursing assistant's ability, which is disrespectful and hostile. This behavior does not address the issue constructively and instead aims to belittle the assistant. In contrast, assertive behavior (choices A, B, and D) involves expressing needs or concerns in a direct and respectful manner, without attacking others. Therefore, choices A, B, and D are incorrect as they demonstrate assertive communication, which is clear, honest, and respectful.

Correct Answer: B

Rationale: The correct answer is B because developmental disabilities do restrict physical and/or mental abilities, impacting functioning in daily life. This is true regardless of the severity or permanence of the disability. Choice A is incorrect as developmental disabilities are typically lifelong. Choice C is incorrect because developmental disabilities are not synonymous with mental illness. Choice D is incorrect because many individuals with developmental disabilities can lead independent lives with appropriate support.