Trauma Nursing Process - TNP - TNCC 9th Ed questions and answers well illustrated.

Trauma Nursing Process - TNP - TNCC 9th Ed questions and answers well illustrated. What qshould qyou qask qyourself qafter qcompleting qall qof qyour qinterventions qand qreassessments? q- q qcorrect qanswer. q q qDoes qthis qpatient qneed qto qbe qtransferred qto qanother qhospital, qto qsurgery, qor qto qcritical qcare? What qhappens qprior qto qpatient qarrival? q1-3 q- q qcorrect qanswer. q q q1. qActivate qtrauma qteam 2. qPrepare qtrauma qroom 3. qDon qPPE What qhappens qfollowing qpatient qarrival qbut qbefore qa qdecision qto qintubate qhas qbeen qmade? q4-8 may qchange qbased qon qC-ABC q- q qcorrect qanswer. q q q4. qAssess qfor qobvious quncontrolled qexternal qhemorrhage qor qunresponsiveness/apnea qand qthe qneed qto qreprioritize qto qC-ABC 5**. qAssess qlevel qof qconsciousness qusing qAVPU 6. qOpen qthe qairway 7**. qAssess qthe qpatency qand qprotection qof qthe qairway 8**. qAssess qbreathing qeffectiveness Continue qthe qTNP qassuming qthe qpatient qwas qintubated. q9-11 q- q qcorrect qanswer. q q q9**. qIf qintubated, qassess qendotracheal qtube qplacement 10. qIf qintubated, qassess qETT qposition qand qsecurement 11. qIf qintubated, qstate qthe qneed qto qbegin qmechanical qventilation qor qcontinue qassisted qventilation Continue qthe qTNP qfollowing qassessments qof qETT. q12-15 **12, q13, qand q15 qare qdouble-starred q- q qcorrect qanswer. q q q12**. qAssess qcirculation 13**. qAssess qneurologic qstatus qusing qGCS 14. qAssess qpupils 15**. qRemove qall qclothing qAND qinspect qfor qobvious qabnormalities qor qinjuries Continue qthe qTNP qfollowing qassessments qof qcirculation, qneuro qstatus, qand qremoval qof qclothing qto qinspect qfor qinjury. q16-18 q- q qcorrect qanswer. q q q16. qProvide qwarmth 17. qObtain qa qfull qset qof qvital qsigns qand qweight qin qkilograms q(if qnot qdetermined qearlier) 18. qFacilitate qfamily qpresence Continue qthe qTNP qusing qthe qLMNOP qmnemonic. q19-23 q- q qcorrect qanswer. q q q19. qL q- qtrauma qpanel qlabs 20. qM q- qmonitor q(Cardiac, qconsider qEKG) 21. qN q- qconsider qneed qfor qNG/OG 22. qO q- qassess qO2 qand qend-tidal qcapnography 23**. qP q- qassess qpain qusing qappropriate qpain qscale Continue qTNP qafter qLMNOP q(so qafter qpain qhas qbeen qassessed). q24-26 q- q qcorrect qanswer. q q q24. qNon-pharmacological qcomfort qmeasures q 25. qConsider qanalgesic qmed qorder 26. qObtain qpertinent qhistory Head-to-Toe q27-43 q- q qcorrect qanswer. q q q27. qInspect qand qpalpate qhead qfor qinjuries 28. qInspect qand qpalpate qface qfor qinjuries 29. qInspect qand qpalpate qneck qfor qinjuries -- qDemonstrate qremoval qAND qreapplication qof qcervical qcollar qfor qassessment q(if qindicated). q30. qInspect qand qpalpate qchest qfor qinjuries 31. qAuscultate qbreath qsounds 32. qAuscultate qheart qsounds 33. qInspect qthe qabdomen qfor qinjuries 34. qAuscultate qbowel qsounds 35. qPalpate qall qfour qquadrants qof qthe qabdomen qfor qinjuries 36. qInspect qand qpalpate qthe qflanks qfor qinjuries 37. qInspect qthe qpelvis qfor qinjuries 38. qApply qgentle qpressure qover qiliac qcrests qdownward qand qmedially 39. qApply qgentle qpressure qon qthe qsymphysis qpubis q(if qiliac qcrests qare qstable) 40. qInspect qthe qperineum qfor qinjuries 41. qConsider qGU q- qurinary qoutput q 42. qInspect qand qpalpate qall qfour qextremities qfor qneurovascular qstatus qand qinjuries 43. qInspect qand qpalpate qposterior qsurfaces q-- qNOT qif qthe qpatient qhas qsuspected qspinal qor qpelvic qinjuries After qthe qhead-to-toe, qthe qlearner qshould qsummarize qinjuries qidentified qthroughout qthe qscenario qand qask qthemselves: q- q qcorrect qanswer. q q q"What qinterventions qor qdiagnostics qcan qyou qanticipate qfor qthis qpatient?" Following qthe qcompletion qof qhead-to-toe qassessment qin qTNP, qyou qmust qdo qwhat? q44 q- q qcorrect qanswer. q q q44. qIdentify qat qleast qTHREE qinterventions qor qdiagnostics these qmay qinclude qthe qfollowing: Antibiotics Consults Head qCT qfor qany qalterations qin qmental qstatus Imaging q(other qradiographs, qCT, qultrasound, qinterventional qradiology qas qindicated) Law qenforcement Mandatory qreporting Psychosocial qsupport Social qservices Splinting Tetanus qimmunization Wound qcare After qidentifying qpotential qinterventions/diagnostics qand qcompleting qyour qassessments qand qinterventions, qyou qshould qask qyourself qwhat? q- q qcorrect qanswer. q q q"What qfindings qwill qyou qcontinue qto qreevaluate qwhile qthe qpatient qis qin qyour qcare?" "Just qkeep qre-evaluating" Just qKeep qReevaluating. q45-48 q- q qcorrect qanswer. q q q45. qReevaluate qvital qsigns 46. qReevaluate qall qidentified qinjuries qand qeffectiveness qof qinterventions 47. qReevaluate qprimary qsurvey 48. qReevaluate qpain What qdo qyou qask qyourself qafter qre-evaluations qare qdone? q49-50 q- q qcorrect qanswer. q q q49. q"What qis qthe qdefinitive qcare qfor qthis qpatient?" 50. qConsider qneed qfor qtransfer qto qa qtrauma qcenter qor qadmission After qall qof qthe qassessments, qinterventions, qreassessments, qetc. qare qdone, qwhat qis qthe qlast qthing qto qask? q- q qcorrect qanswer. q q q"Is qthere qanything qyou qwould qlike qto qadd qat qthis qtime?" When qconsidering qGU qand qhow qto qmonitor qurinary qoutput: q- q qcorrect qanswer. q q q- qAssess qfor qcontraindications qfor qan qindwelling qurinary qcatheter - qExternal qcatheter - qWeighing qdiapers q(pediatrics qand qadults) How qdo qyou qfirst qassess qfor qpelvic qinstability? qThen qwhat qdo qyou qdo? q- q qcorrect qanswer. q q qApply qgentle qpressure qover qiliac qcrests qdownward qand qmedially. qIf qiliac qcrests qare qstable, qthen qapply qgentle qpressure qon qthe qsymphysis qpubis. T/F: qIt qis qappropriate qto qconsider qtransfer qto qa qhigher qlevel qof qcare qbefore qor qduring qthe qA-E. q- q qcorrect qanswer. q q qTrue. qConsider qthis qthroughout. What qis qa qsystematic qprocess qto qguide qyour qcare qof qtrauma qpatients? q- q qcorrect qanswer. q q qtrauma qnursing qprocess What qdoes qit qmean qto qhave qdouble-starred qcriteria? q- q qcorrect qanswer. q q qIt qmeans qthat qthis qcriteria qMUST qbe qdone qin qorder. For qdouble-starred qcriteria, q___ qand q___ qmust qbe qcompleted qprior qto qmoving qto qthe qnext qstep. q- q qcorrect qanswer. q q qassessments, qinterventions Double-starred qcriteria qinclude qletters q___-___. q- q qcorrect qanswer. q q qA-E What qdoes qit qmean qto qhave qsingle-starred qcriteria? q- q qcorrect qanswer. q q qThis qmeans qthe qcriteria qneeds qto qbe qdone, qbut qthe qsequence qis qnot qcritical. **A qstands qfor q___ qand q___. q- q qcorrect qanswer. q q qalertness, qairway **B qstands qfor q___ qand q___. q- q qcorrect qanswer. q q qbreathing, qventilation **C qstands qfor q___. q- q qcorrect qanswer. q q qcirculation **D qstands qfor q___. q- q qcorrect qanswer. q q qdisability **E qstands qfor q___. q- q qcorrect qanswer. q q qexposure What qare qthe q4 qpotential qsingle-starred qcriteria? q- q qcorrect qanswer. q q q- qreassessment qof qprimary qsurvey qinterventions - qblood qglucose qif qalterations qin qmental qstatus qnoted qin qdisability qassessment - qpain qassessment qusing qappropriate qpain qscale - qinspection qof qposterior qsurfaces q(unless qCI) Why qmight qinspection qof qposterior qsurfaces qbe qcontraindicated? q- q qcorrect qanswer. q q qMay qbe qcontraindicated qby qsuspected qspine qor qpelvic qinjury You qmust qassess qpain qusing qan q___________. q- q qcorrect qanswer. q q qappropriate qpain qscale What qare qthe qdouble-starred qcriteria? q(hint: qA-E) q- q qcorrect qanswer. q q q**Alertness qand qAirway **Breathing qand qVentilation **Circulation **Disability **Exposure T/F: qPreparation qand qtriage qin qTNP qincludes qthe qactivation qof qthe qtrauma qteam, qrole qassignment, qpreparation qof qthe qtrauma qroom, qand qdonning qPPE. q- q qcorrect qanswer. q q qTrue What qmight qyou qask qyourself qduring qpreparation qand qtriage? q- q qcorrect qanswer. q q q"Is qthere qany qspecific qequipment qthat qyou qwould qprepare?" Trauma qroom qpreparations qmight qinclude: q- q qcorrect qanswer. q q q- qBariatric qequipment