TNCC Final Exam Test 2022

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 Both upper arms = 8%, both lower arms = 6%, and both hands = 5%, yielding 19 * 2 * 120 = 4560 mL. Half of the total is equal to 2280 mL. Superficial burns are not included in the TBSA calculation for fluid resuscitation. 3840 mL 4560mL 7680 mL  2. EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance? Alert with no neurologic deficits Multiple abrasions to the extremities Abrasions on extremities may be painful but are not distracting injuries. Other assessment findings must be considered before radiologic spine clearance is performed. Multiple requests for water Smell of alcohol on breath  3.A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various stages of healing and multiple small, clean, round burns to the back. There are no abnormalities found based on the pediatric assessment triangle or primary survey. Which of the following is the priority nursing intervention? Report your suspicion of maltreatment in accordance with local regulations Nurses are mandated reporters in most jurisdictions. With no alterations in the primary survey, this is the priority intervention. Apply ice to the bruises and consult wound care Engage in therapeutic communication to determine the mechanism of injury Provide the family with injury prevention resources  4. What is the effect of hypothermia on the oxyhemoglobin dissociation curve? Hemoglobin does not readily release oxygen for use by the tissues The amount of oxygen available to the tissues increases Tissue oxygenation (PaO2) increases Hemoglobin molecule saturation (SaO2) decreases A shift to the left occurs in an environment of low metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobins affinity for oxygen.  5. An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered medications for drug-