TNCC

Treatment for frostbite includes:

Administer aspirin (With frostbite, thromus formation is a risk. Aspirin or NSAIDs can be administered. p.210)

A patient is diagnosed with small subdural hematoma with a history of a trup and fall in which he hit his ehad on the sing two weeks ago. he is waiting for an inpatient bed. The nursing shift report indicates that he did not sleep last night and has been very anxious. As the nurse begins an assessment, he vomits and states he couldn't sleep because a young child dept coming into his room during the night. What is a likely cause for these signs and symptoms?

Alcohol withdrawal (Alcohol withdrawal is a common delayed condition because symptoms are difficult to identify early. Signs include autonomic hyperactiivity, hand tremors, nausea or vomiting, psychomotor agitation, anxiety, insomnia, hallucinations, or seizures. p,332)

When obtaining a history for an injured patient, determining energy transfer through biomechanical data helps the nurse to:

Anticipate the types of injury that may be present (Mechanism of injury and energy transfer can help predict potential injuries and injury patterns p.29)

What is the appropriate technique to palpate the pelvis for stability?

Apply gentle pressure over the iliac wings downward and medially. p.159

Which of the following is the best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation?

Base deficit (Base deficit serves as an endpoint measurement of the adequacy of cellular perfusion and predicts the success of the resuscitation)

In a patient with severe traumatic brain injury, hypocapnia causes:

Cerebral vasoconstriction (Hypocapnia, or low levels of carbon dioxide, will cause vasoconstriction, especially in the cerebral vasculature.) p.109

What is the key to a high performing trauma team?

Consistent communication (Communication, cooperation, and coordination are the foundations of successful teamwork in trauma care p.6)

While performing an assessment on a 13 month old involved in a motor vehicle collision, the nurse identifies which of the following findings from the patient as a potential sign of mental status changes?

Cooperation with the assessment. (An oder infant or toddler will rocognize his or her caregiver and be cautions of strangers. A cooperative 13 month old patient could be an early sign of hypoxia or change in mental status. p. 236)

A patient with a knife injury to the neck has an intact airway and is hemodynamically stable. He complains of difficulty swallowing and speaking. Further assessment is indicated next for which of the following conditions?

Damage to the spinal cord. (Penetrating neck trauma may include concurrent injuries to the spinal cord, airway, or vascular neck structures. With an intact airway and hemodynamic stability, the other common concurrent injury is to the spinal cord. p.143)

What is the first step to stop a hemorrhage associated with an amputated extremity?

Initial direct pressure (The first step in controlling any bleeding including bleeding from amputation, is direct pressure. If that is not adequate, the application of a tourniquet may be needed. p.201)

A patient with a spinal cord injury at C5 is being cared for in the emgency department while awaiting transport to a trauma center. Which of the following represents the highest priority for ongoing assessment?

Monitor respiratory status (Spinal cord injuries at C3 to C5 can cause the loss pf phrenic nerve function and elad to respiratory arrest. p.182)

A 30-week pregnant trauma patient's vital signs include a BP of 94/72 and a HR of 108. FHT are 124. The emergency nurse interprets the patient's hemodynamic findings as an indication of which of the following?

Normal vital signs of pregnancy ( In pregnancy, the resting heart rate increases by 10-20 bpm and a small decrease in systolic pressure and a larger decrease in diastolic BP. Normal fetal heart rate is between 120-160 bpm. p.226, 228)

The across-the-room observation step in the initial assessment provides the opportunity to:

Reprioritize ciculation before airway or breathing (The accross the room observation is done at the beginning of th eprimary survey to rapidy assess the need ot reprioritize ciculation before airway or breathing. This is done if uncontrolled external hemorrhage is identified. p.40)

What is the best position to maintain an open airway in the bariatric patient?

Reverse Trendelenburg (The revers Trendelenburg position will benefit both airway maintenance and work of breathing int he bariatric patient. p. 272, 277)

Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment are examples of which phase of injury?

Secondary (The secondary phase of a blast results from flying debris and bomb fragments causing lacerations or penetrating injuries. p.34)

A trauma nurse cared for a child with devastating burns 2 weeks ago. She called in sick for a coupe of days and is now back working on the team. Which of the following behaviors would indicate this nurse is coping well?

She is talking about taking the emergency nursing certification examination (This is an indication she is taking positive steps to advance her own practice. p.304)

According to the WHO pain relief ladder, adjuvant medications are:

Treatment for symptoms associated with pain (Adjuvant medications are not originally intended to treat pain, but can help manage pain by treating associated symptoms, such as nausea, anxiety, and others

The major preventable cause of death in trauma patient is:

Uncontrolled hemorrhage. (Uncontrolled hemorrhage is the major cause of preventable death after injury, so assessment to identify uncontrolled hemorrhage is key to the initial assessment process. p.40)

The nurse is obtaining a history for a patient who presents following sexual assault. This history is completed using which of the following techniques?

Use direct quotes to record information (Use of direct quotes will assure the most accurate account of the patient;s experience. p.289)

Which of the following accurately describes ventilation principles associated with a bag-mask device?

Ventilate at a rate of 10-12 breaths/min (When patient ventilation is ineffective, the best intervention is to assist ventilations at 10-12 breaths/min or one every 5-6 seconds. p.44)