Why would a resident be in isolation?

Correct Answer: A

Rationale: The correct answer is A because a resident would be in isolation if they require Transmission-Based Precautions due to a contagious infection. This is crucial to prevent the spread of the infection to other residents and staff. Standard Precautions are used for all residents, not just those in isolation. Choices C and D are incorrect as isolation is not related to interpersonal relationships or management issues but rather infection control.

Correct Answer: C

Rationale: The correct answer is C: Contracture. A contracture refers to the permanent and painful shortening of a muscle, tendon, or ligament due to prolonged immobility or lack of proper stretching. This leads to restricted range of motion and can cause significant discomfort. Abdominal girth (A) refers to the measurement around the abdomen, sternal notch (B) is a landmark on the sternum, and demi-span (D) is a term used in anthropometry to measure body proportions. These choices are unrelated to the concept of permanent and painful shortening of muscle, tendon, or ligament as seen in a contracture.

Correct Answer: B

Rationale: The correct answer is B: Pushing when possible. Using proper body mechanics involves minimizing strain on the body. Pushing objects instead of pulling or lifting reduces stress on the back and joints. It allows for the use of larger muscle groups, promoting better posture and reducing the risk of injury. By pushing, the body weight is better distributed, and it is easier to maintain a neutral spine position. Twisting the back (Choice A) can lead to strain and injury. Lifting (Choice C) should be avoided when possible to prevent back injuries. Using a wide base of support (Choice D) is recommended for stability and balance, unlike a narrow base that may increase the risk of falls.

Correct Answer: C

Rationale: The correct answer is C: Discontinue the massage. Redness around bony areas indicates potential skin irritation or pressure ulcers. Continuing the massage could worsen the condition. It is crucial to stop the massage to prevent any further damage. Massaging around these areas (Choice A) or applying extra lotion (Choice D) does not address the underlying issue and may exacerbate the problem. Massaging these areas (Choice B) directly contradicts the need to discontinue the massage to prevent harm.

Correct Answer: C

Rationale: The correct answer is C: Pulse deficit. The difference between the apical and radial pulse rates indicates a potential cardiac issue. A pulse deficit suggests that not all heartbeats are reaching the peripheral arteries, which may be due to arrhythmias or other cardiac disorders. The other choices are incorrect because: A: Pulse rate refers to the number of heartbeats per minute, not the difference between apical and radial pulses. B: Cheyne-Stokes is a pattern of breathing, not related to pulse differences. D: BPM stands for beats per minute and does not specifically address the difference between apical and radial pulses.