TNCC(Trauma Nursing Core Course) 8TH QUESTIONS AND VERIFIED ANSWERS.

TNCC(Trauma Nursing Core Course) 8TH QUESTIONS AND ANSWERS. The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patients fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the total body surface area burned, how much IV fluid would be administered in the first 8 hours? 2280 mL 3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness burn areas are used in calculating TBSA. The anterior chest shows evidence of superficial burns. Correct Answer: 2280 mL - -3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness burn areas are used in calculating TBSA. The anterior chest shows evidence of superficial burns. You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cardiotocography. These findings are most consistent with which of the following? Placental abruption Correct Answer: Placental abruption Patients with a crush injury should be monitored for which of the following conditions? Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead to life-threatening dysrhythmias. Correct Answer: Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead to life-threatening dysrhythmias. A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated for hemodynamically unstable patients or if FAST and CT are not available. Correct Answer: Diagnostic peritoneal lavage is indicated for hemodynamically unstable patients or if FAST and CT are not available. A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority intervention? Initiate transfer to a trauma center Correct Answer: Initiate transfer to a trauma center What finding raises suspicion of a complete spinal cord injury? Priapism Correct Answer: Priapism Which of the following is a component of the trauma triad of death? Acidosis Correct Answer: Acidosis Tearing of the bridging veins is most frequently associated with which brain injury? Subdural hematoma Correct Answer: Subdural hematoma During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. What priority nursing intervention should be performed next? Open the airway with the head-tilt, chin lift maneuver xx The unconscious patient with multi-system trauma should be suspected of having a cervical spine injury. The jaw-thrust procedure is recommended to open the airway.