Trauma Nursing Process - TNP - TNCC 9th Ed questions and answers latest top score.

Trauma Nursing Process - TNP - TNCC 9th Ed questions and answers latest top score. What sshould syou sask syourself safter scompleting sall sof syour sinterventions sand sreassessments? s- s scorrect sanswer. s s sDoes sthis spatient sneed sto sbe stransferred sto sanother shospital, sto ssurgery, sor sto scritical scare? What shappens sprior sto spatient sarrival? s1-3 s- s scorrect sanswer. s s s1. sActivate strauma steam 2. sPrepare strauma sroom 3. sDon sPPE What shappens sfollowing spatient sarrival sbut sbefore sa sdecision sto sintubate shas sbeen smade? s4-8 may schange sbased son sC-ABC s- s scorrect sanswer. s s s4. sAssess sfor sobvious suncontrolled sexternal shemorrhage sor sunresponsiveness/apnea sand sthe sneed sto sreprioritize sto sC-ABC 5**. sAssess slevel sof sconsciousness susing sAVPU 6. sOpen sthe sairway 7**. sAssess sthe spatency sand sprotection sof sthe sairway 8**. sAssess sbreathing seffectiveness Continue sthe sTNP sassuming sthe spatient swas sintubated. s9-11 s- s scorrect sanswer. s s s9**. sIf sintubated, sassess sendotracheal stube splacement 10. sIf sintubated, sassess sETT sposition sand ssecurement 11. sIf sintubated, sstate sthe sneed sto sbegin smechanical sventilation sor scontinue sassisted sventilation Continue sthe sTNP sfollowing sassessments sof sETT. s12-15 **12, s13, sand s15 sare sdouble-starred s- s scorrect sanswer. s s s12**. sAssess scirculation 13**. sAssess sneurologic sstatus susing sGCS 14. sAssess spupils 15**. sRemove sall sclothing sAND sinspect sfor sobvious sabnormalities sor sinjuries Continue sthe sTNP sfollowing sassessments sof scirculation, sneuro sstatus, sand sremoval sof sclothing sto sinspect sfor sinjury. s16-18 s- s scorrect sanswer. s s s16. sProvide swarmth 17. sObtain sa sfull sset sof svital ssigns sand sweight sin skilograms s(if snot sdetermined searlier) 18. sFacilitate sfamily spresence Continue sthe sTNP susing sthe sLMNOP smnemonic. s19-23 s- s scorrect sanswer. s s s19. sL s- strauma spanel slabs 20. sM s- smonitor s(Cardiac, sconsider sEKG) 21. sN s- sconsider sneed sfor sNG/OG 22. sO s- sassess sO2 sand send-tidal scapnography 23**. sP s- sassess spain susing sappropriate spain sscale Continue sTNP safter sLMNOP s(so safter spain shas sbeen sassessed). s24-26 s- s scorrect sanswer. s s s24. sNon-pharmacological scomfort smeasures s 25. sConsider sanalgesic smed sorder 26. sObtain spertinent shistory Head-to-Toe s27-43 s- s scorrect sanswer. s s s27. sInspect sand spalpate shead sfor sinjuries 28. sInspect sand spalpate sface sfor sinjuries 29. sInspect sand spalpate sneck sfor sinjuries -- sDemonstrate sremoval sAND sreapplication sof scervical scollar sfor sassessment s(if sindicated). s30. sInspect sand spalpate schest sfor sinjuries 31. sAuscultate sbreath ssounds 32. sAuscultate sheart ssounds 33. sInspect sthe sabdomen sfor sinjuries 34. sAuscultate sbowel ssounds 35. sPalpate sall sfour squadrants sof sthe sabdomen sfor sinjuries 36. sInspect sand spalpate sthe sflanks sfor sinjuries 37. sInspect sthe spelvis sfor sinjuries 38. sApply sgentle spressure sover siliac scrests sdownward sand smedially 39. sApply sgentle spressure son sthe ssymphysis spubis s(if siliac scrests sare sstable) 40. sInspect sthe sperineum sfor sinjuries 41. sConsider sGU s- surinary soutput s 42. sInspect sand spalpate sall sfour sextremities sfor sneurovascular sstatus sand sinjuries 43. sInspect sand spalpate sposterior ssurfaces s-- sNOT sif sthe spatient shas ssuspected sspinal sor spelvic sinjuries After sthe shead-to-toe, sthe slearner sshould ssummarize sinjuries sidentified sthroughout sthe sscenario sand sask sthemselves: s- s scorrect sanswer. s s s"What sinterventions sor sdiagnostics scan syou santicipate sfor sthis spatient?" Following sthe scompletion sof shead-to-toe sassessment sin sTNP, syou smust sdo swhat? s44 s- s scorrect sanswer. s s s44. sIdentify sat sleast sTHREE sinterventions sor sdiagnostics these smay sinclude sthe sfollowing: Antibiotics Consults Head sCT sfor sany salterations sin smental sstatus Imaging s(other sradiographs, sCT, sultrasound, sinterventional sradiology sas sindicated) Law senforcement Mandatory sreporting Psychosocial ssupport Social sservices Splinting Tetanus simmunization Wound scare After sidentifying spotential sinterventions/diagnostics sand scompleting syour sassessments sand sinterventions, syou sshould sask syourself swhat? s- s scorrect sanswer. s s s"What sfindings swill syou scontinue sto sreevaluate swhile sthe spatient sis sin syour scare?" "Just skeep sre-evaluating" Just sKeep sReevaluating. s45-48 s- s scorrect sanswer. s s s45. sReevaluate svital ssigns 46. sReevaluate sall sidentified sinjuries sand seffectiveness sof sinterventions 47. sReevaluate sprimary ssurvey 48. sReevaluate spain What sdo syou sask syourself safter sre-evaluations sare sdone? s49-50 s- s scorrect sanswer. s s s49. s"What sis sthe sdefinitive scare sfor sthis spatient?" 50. sConsider sneed sfor stransfer sto sa strauma scenter sor sadmission After sall sof sthe sassessments, sinterventions, sreassessments, setc. sare sdone, swhat sis sthe slast sthing sto sask? s- s scorrect sanswer. s s s"Is sthere sanything syou swould slike sto sadd sat sthis stime?" When sconsidering sGU sand show sto smonitor surinary soutput: s- s scorrect sanswer. s s s- sAssess sfor scontraindications sfor san sindwelling surinary scatheter - sExternal scatheter - sWeighing sdiapers s(pediatrics sand sadults) How sdo syou sfirst sassess sfor spelvic sinstability? sThen swhat sdo syou sdo? s- s scorrect sanswer. s s sApply sgentle spressure sover siliac scrests sdownward sand smedially. sIf siliac scrests sare sstable, sthen sapply sgentle spressure son sthe ssymphysis spubis. T/F: sIt sis sappropriate sto sconsider stransfer sto sa shigher slevel sof scare sbefore sor sduring sthe sA-E. s- s scorrect sanswer. s s sTrue. sConsider sthis sthroughout. What sis sa ssystematic sprocess sto sguide syour scare sof strauma spatients? s- s scorrect sanswer. s s strauma snursing sprocess What sdoes sit smean sto shave sdouble-starred scriteria? s- s scorrect sanswer. s s sIt smeans sthat sthis scriteria sMUST sbe sdone sin sorder. For sdouble-starred scriteria, s___ sand s___ smust sbe scompleted sprior sto smoving sto sthe snext sstep. s- s scorrect sanswer. s s sassessments, sinterventions Double-starred scriteria sinclude sletters s___-___. s- s scorrect sanswer. s s sA-E What sdoes sit smean sto shave ssingle-starred scriteria? s- s scorrect sanswer. s s sThis smeans sthe scriteria sneeds sto sbe sdone, sbut sthe ssequence sis snot scritical. **A sstands sfor s___ sand s___. s- s scorrect sanswer. s s salertness, sairway **B sstands sfor s___ sand s___. s- s scorrect sanswer. s s sbreathing, sventilation **C sstands sfor s___. s- s scorrect sanswer. s s scirculation **D sstands sfor s___. s- s scorrect sanswer. s s sdisability **E sstands sfor s___. s- s scorrect sanswer. s s sexposure What sare sthe s4 spotential ssingle-starred scriteria? s- s scorrect sanswer. s s s- sreassessment sof sprimary ssurvey sinterventions - sblood sglucose sif salterations sin smental sstatus snoted sin sdisability sassessment - spain sassessment susing sappropriate spain sscale - sinspection sof sposterior ssurfaces s(unless sCI) Why smight sinspection sof sposterior ssurfaces sbe scontraindicated? s- s scorrect sanswer. s s sMay sbe scontraindicated sby ssuspected sspine sor spelvic sinjury You smust sassess spain susing san s___________. s- s scorrect sanswer. s s sappropriate spain sscale What sare sthe sdouble-starred scriteria? s(hint: sA-E) s- s scorrect sanswer. s s s**Alertness sand sAirway **Breathing sand sVentilation **Circulation **Disability **Exposure T/F: sPreparation sand striage sin sTNP sincludes sthe sactivation sof sthe strauma steam, srole sassignment, spreparation sof sthe strauma sroom, sand sdonning sPPE. s- s scorrect sanswer. s s sTrue What smight syou sask syourself sduring spreparation sand striage? s- s scorrect sanswer. s s s"Is sthere sany sspecific sequipment sthat syou swould sprepare?" Trauma sroom spreparations smight sinclude: s- s scorrect sanswer. s s s- sBariatric sequipment - sDifficult sairway sor sIV sequipment - sFluid swarmer - sPediatric sequipment While sdonning sPPE, syou sshould sconsider s2 sthings: s- s scorrect sanswer. s s s1. spotential ssafety sthreats sto sthe steam 2. sneed sfor sdecontamination The sgeneral simpression sin sTNP sis sto... s- s scorrect sanswer. s s sAssess sfor sobvious suncontrolled sexternal shemorrhage sor sunresponsiveness/apnea sand sthe sneed sto sreprioritize sto sC-ABC. What smight sneed sto sbe sreprioritized sduring sthe sgeneral simpression? sWhy? s- s scorrect sanswer. s s sYou smay sneed sto sswitch sfrom sABCs sto sC-ABCs sin sthe scase sof suncontrolled sexternal shemorrhage. During sthe sgeneral simpression sin sTNP, swhen salterations sare sidentified, syou smust sdo swhat? sThen swhat? s- s scorrect sanswer. s s sIntervene sas sappropriate sand scontinuously sreassess sfor sefficacy What sinterventions sare spotentially sincluded sin sthe sgeneral simpression? s- s scorrect sanswer. s s s- spulse - scontrol sof sexternal shemorrhage - sinitiation sof schest scompressions - sinitiation sof sIV sresuscitation Why swould syou sinitiate sIV sresuscitation? s- s scorrect sanswer. s s sfor ssigns sof ssignificant sblood sloss swith ssigns sof svery spoor sperfusion T/F: sDuring sthe sgeneral simpression, syou scan sperform sthe sassessment sand sinterventions ssimultaneously swhen smultiple steam smembers sare spresent. s- s scorrect sanswer. s s sTrue. T/F: sDuring sthe sgeneral simpression, sassessments sand sinterventions sidentify slife-threatening sconditions, sand syou sshould sprioritize sthe slife-saving sinterventions. sOrder sof sstep scompletion sis snot simportant. s- s scorrect sanswer. s s sFalse. sOrder sof sstep scompletion sis sof scritical simportance. What sis sthe sfirst sdouble-starred sassessment? sWhat sstep sis sit? s- s scorrect sanswer. s s sAlertness sand sAVPU sare sthe sfirst sdouble-starred sassessments. sIt sis sstep s5**.