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Trauma Nursing Process - TNP - TNCC 9th Edition Exam Challenge with Certified Solutions .

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Trauma Nursing Process - TNP - TNCC 9th Ed




Trauma Nursing Process - TNP - TNCC
9th Edition Exam Challenge with
Certified Solutions 2024-2025.

What should you ask yourself after completing all of your interventions and
reassessments? - Answer: Does this patient need to be transferred to another
hospital, to surgery, or to critical care?

, Trauma Nursing Process - TNP - TNCC 9th Ed




What happens prior to patient arrival? 1-3 - Answer: 1. Activate trauma team

2. Prepare trauma room

3. Don PPE



What happens following patient arrival but before a decision to intubate has been
made? 4-8



may change based on C-ABC - Answer: 4. Assess for obvious uncontrolled external
hemorrhage or unresponsiveness/apnea and the need to reprioritize to C-ABC

5**. Assess level of consciousness using AVPU

6. Open the airway

7**. Assess the patency and protection of the airway

8**. Assess breathing effectiveness



Continue the TNP assuming the patient was intubated. 9-11 - Answer: 9**. If
intubated, assess endotracheal tube placement

10. If intubated, assess ETT position and securement

11. If intubated, state the need to begin mechanical ventilation or continue
assisted ventilation

, Trauma Nursing Process - TNP - TNCC 9th Ed




Continue the TNP following assessments of ETT. 12-15

**12, 13, and 15 are double-starred - Answer: 12**. Assess circulation

13**. Assess neurologic status using GCS

14. Assess pupils

15**. Remove all clothing AND inspect for obvious abnormalities or injuries



Continue the TNP following assessments of circulation, neuro status, and removal
of clothing to inspect for injury. 16-18 - Answer: 16. Provide warmth

17. Obtain a full set of vital signs and weight in kilograms (if not determined
earlier)

18. Facilitate family presence



Continue the TNP using the LMNOP mnemonic. 19-23 - Answer: 19. L - trauma
panel labs

20. M - monitor (Cardiac, consider EKG)

21. N - consider need for NG/OG

22. O - assess O2 and end-tidal capnography

23**. P - assess pain using appropriate pain scale

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