TNCC 8th Edition: Comprehensive Trauma Nursing Exam Preparation, Exams of Nursing

Download TNCC 8th Edition: Comprehensive Trauma Nursing Exam Preparation and more Exams Nursing in PDF only on Docsity! TNCC 8th edition| Questions & Answers| 100% Solved! The major cause of preventable death after injury - ANSWERSUncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation - ANSWERSBase deficit Examples of primary blast injuries - ANSWERSBlast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage Examples of secondary blast injuries - ANSWERSWounds from debris and bomb fragments Examples of tertiary blast injuries - ANSWERSBlunt or penetrating trauma from the body being thrown by the blast Examples of quaternary blast injuries - ANSWERSInjuries or illness related to explosion: burns, toxic injury from chemicals Examples of quinary blast injuries - ANSWERSInjuries associated with exposure to hazardous materials from the components of the blast Questions to ask for airway assessment (need 4) - ANSWERSIs the tongue obstructing? Are there any foreign objects? Is there any edema? Are there loose or missing teeth? Is there snoring, gurgling, or stridor? Is there bony deformity? Is there blood, vomit, or secretions? Questions to ask during breathing assessment. (Need 4) - ANSWERSIs there symmetrical chest rise? Is there spontaneous breathing? Is there tracheal deviation or JVD? What is their skin color? Are there open wounds or deformities in the chest? What's the depth, pattern, and rate of respirations? Is there increased work of breathing? Are breath sounds present and equal? 3 ways to assess ETT placement - ANSWERS1. Apply end tidal, assess CO2 after 5-6 breaths 2. Assess for symmetrical chest wall rise and fall 3. Auscultation over the epigastrium for gurgling and bilateral breath sounds. What do you document after placing an ETT? - ANSWERSETT placement at teeth or gums Situations that require a definitive airway - ANSWERSGCS 8 or less Apnea Inhalation injury Increased risk of aspiration Anticipate decreased neuro status Severe maxo fractures Laryngeal/tracheal injury Where do you listen for breath sounds? - ANSWERS2nd intercostal space at midclavicular line and 5th intercostal space at anterior axillary line King airway - ANSWERSA multidimensional esophageal airway that traps the glottis opening between an esophageal cuff and an oropharyngeal cuff 3 things to assess for circulation - ANSWERSPalpate central pulse Assess (again) for external hemorrhage Inspect and palpate skin for color, temp, and moisture. When do you establish IV access? - ANSWERSRight after the circulatory assessment At what point to you evaluate need for transfer or definitive care? - ANSWERSAfter the primary survey How do you palpate the iliac crests? - ANSWERSDownward and medially The 3 components of the pediatric assessment triangle - ANSWERSSkin circulation, work of breathing, general appearance What type of fluids should you give kids with normal blood glucose? - ANSWERSFluids with dextrose to prevent hypoglycemia How much fluid do you give a kid? - ANSWERS20mL/kg What assessment finding gives concern for severe brain injury? - ANSWERSBulging fontanels