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TNCC 20TH EDITION EXAM LATEST Surface and Burn Trauma (3).docx

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TNCC 20TH EDITION EXAM LATEST 2024-2025 Surface and Burn Trauma
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+




Abrasion - ANSpartial or full-thickness wound that denudes the skin

age indication for transfer to burn center - ANSchild

Avulsion - ANSfull-thickness wounds caused by a tearing or ripping of skin and soft-tissue; wound
edges not well approximated

body parts that indicate transfer to burn center - ANSface, hands, feet, genitalia, perimeum,
major joints

cause of cardiac dysrhythmias in burn victims - ANScell damage increases circulating K+ which
can cause T wave changes

complications associated with electrical burns - ANScardiac
dysrhythmias rhabdomyolysis with myoglobinuria
fractures
seizures

contusion - ANSclosed wound in which a ruptured blood vessel or capillary bed hemorrhages into
surrounding tissue

criteria for transfer to burn center for partial thickness burns - ANS10% of TBSA

fifth intervention for frostbite - ANSASA or NSAIDS to prevent thrombus formation

first intervention for frostbite - ANSquickly rewarm at 40 - 42 C (104 - 107.6 F), confirming that
affected area can be thawed and not refreeze; avoid friction/rubbing

fluid resuscitation for electrical burns - ANSmay require increased fluid requirements (also for
pediatrics, inhalation burns, and intoxicated)

fluid resuscitation for thermal burns >20% TBSA - ANSLR @ 2 mL/kg/percentage of TBSA; first
half within 8 hours of the burn injury; remainder over the next 16 hours

fourth intervention for frostbite - ANSprotect from further injury -- splint extremities

hematoma - ANScontusion in which blood leaks under the skin surface and often forms a
palpable mass

importance of temperature regulation with burns - ANSprotective skin barrier is lost leading to
difficulty maintaining temp

laceration - ANSopen wound from shearing forces through the dermis and epidermis with
potential involvement of underlying structures such as muscles, tendons, ligaments

other indications for transfer to burn center - ANS3rd degree burns
electrical/lightning
chemical
inhalation
concomitant trauma
preexisting complicating disorders

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,potential complication with rhabdomylysis - ANSacute kidney injury and renal failure from
excretion of large amounts of myoglobin




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, TNCC 20TH EDITION EXAM LATEST 2024-2025 Surface and Burn Trauma
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+




puncture - ANScaused by direct perpendicular penetration of objects into tissues

second intervention for frostbite - ANSpain medication

signs of burns to airway - ANShoarse voice
carbonaceous sputum
burns around nose or mouth
stridor

third intervention for frostbite - ANSextract fluid in clear blisters; leave blood blisters intact

Urinary output monitoring for adult burn patients - ANS0.5ml/kg/hour (or about 30 -50 ml/hour)

 Urinary output monitoring for children weighing less than 40 kg (88 lbs) - ANS1
ml/kg/hourly. Abrasion - ANSpartial or full-thickness wound that denudes the skin

age indication for transfer to burn center - ANSchild

Avulsion - ANSfull-thickness wounds caused by a tearing or ripping of skin and soft-tissue; wound
edges not well approximated

body parts that indicate transfer to burn center - ANSface, hands, feet, genitalia, perimeum,
major joints

cause of cardiac dysrhythmias in burn victims - ANScell damage increases circulating K+ which
can cause T wave changes

complications associated with electrical burns - ANScardiac
dysrhythmias rhabdomyolysis with myoglobinuria
fractures
seizures

contusion - ANSclosed wound in which a ruptured blood vessel or capillary bed hemorrhages into
surrounding tissue

criteria for transfer to burn center for partial thickness burns - ANS10% of TBSA

fifth intervention for frostbite - ANSASA or NSAIDS to prevent thrombus formation

first intervention for frostbite - ANSquickly rewarm at 40 - 42 C (104 - 107.6 F), confirming that
affected area can be thawed and not refreeze; avoid friction/rubbing

fluid resuscitation for electrical burns - ANSmay require increased fluid requirements (also for
pediatrics, inhalation burns, and intoxicated)

fluid resuscitation for thermal burns >20% TBSA - ANSLR @ 2 mL/kg/percentage of TBSA; first
half within 8 hours of the burn injury; remainder over the next 16 hours

fourth intervention for frostbite - ANSprotect from further injury -- splint extremities

hematoma - ANScontusion in which blood leaks under the skin surface and often forms a
palpable mass

importance of temperature regulation with burns - ANSprotective skin barrier is lost leading to
Document shared on https://www.docsity.com/en/classification-of-crude-
drugs/2147112/
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, difficulty maintaining temp




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