TCRN Guías de estudio, Notas de estudios & Resúmenes

TCRN Review Extremity and Wound Trauma Musculoskeletal Trauma, Surface and Burn Trauma with 249 Questions with Answers List some special considerations for abrasions. - CORRECT ANSWER Pain control - full thickness abrasions may be associated with nerve damage and may have less pain Evaporative heat loss - consider warming measures Evaporative fluid loss - consider need for fluid replacement Scarring - anesthetize wound and aggressively remove debris Define contusion. - CORRECT ANSWER Ru...

TCRN Exam Review 403 Questions with Verified Answers Circumfrential burns - CORRECT ANSWER Full-thickness burns result in the formation of an eschar that is tough and unyielding. Can cause a burn compartment syndrome, and often requires escharotomy Shock - CORRECT ANSWER Systemic reaction to insult that causes decreased oxygen delivery to the cells 4 Classifications of Shock - CORRECT ANSWER 1. Hypovolemic 2. Distributive 3. Cardiogenic 4. Obstruction Hypovolemic Shock - CORRE...

TCRN Review Exam Challenge 25 Questions with Verified Answers Fluid resuscitation is undertaken for the patient in late, decompensatory hypovolemic shock. Which of the following findings indicates that this treatment is having its intended effect? An elevation in the: A. Pulse pressure B. Urinary output C. Respiratory rate D. Serum lactate levels - CORRECT ANSWER B A decrease in urinary output is associated with decompensatory hypovolemic shock, therefore an increase in this parameter is...

TCRN Exam 113 Questions with Verified Answers Kehr's sign - CORRECT ANSWER Referred left shoulder pain, usually indicates a splenic injury Base deficit - CORRECT ANSWER Base deficit more than -6 indicates the need for agressive resuscitation and determination of the etiology CXR - CORRECT ANSWER Most important tool providing useful information in the early minutes. Can identify major sources of blood loss from injuries in the chest or elevated diaphragm with displacement of abdominal o...

TCRN Test 150 Questions with Verified Answers Fluid resuscitation is administered to a traumatically injured patient. After resuscitation, the trauma nurse evaluates the patient's response to that resuscitation to determine whether additional fluids should be administered. Which of the following factors is most likely to impact this evaluation? - CORRECT ANSWER Beta-blockers blunt changes in the pulse and blood pressure. This may both reduce changes associated with recognizing hypovolemia bu...

TCRN ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS UPDATE Hypovolemic shock Correct Answer: lack of volume Distributive shock Correct Answer: mal-distribution of blood (vast- dilation) Carcinogenic shock Correct Answer: inadequate cardiac output Obstructive shock Correct Answer: inability of blood to enter or exit the heart adequately Early (compensatory) shock Correct Answer: sympathetic system versus parasympathetic system Adrenergic system Correct Answer: another name for sympathetic sys...

TCRN Exam 130 Questions with Verified Answers Primary cause of spinal cord injuries - CORRECT ANSWER direct trauma Secondary cause of spinal cord injuries - CORRECT ANSWER decreased perfusion or oxygenation to the site of injury Neurogenic shock - CORRECT ANSWER loss of both vasomotor tone and sympathetic innervations Neurogenic shock is seen with a spinal cord injury at the level of BLANK or higher - CORRECT ANSWER T5 Complete spinal cord injury - CORRECT ANSWER When the patient ...

TCRN Exam 320 Questions with Verified Answers Most common mechanism of injury - CORRECT ANSWER Falls Forms of energy - CORRECT ANSWER -mechanical -gravitational -thermal -chemical Types of trauma - CORRECT ANSWER -blunt -penetrating -burn -other Blunt trauma - CORRECT ANSWER accounts most injuries sustained frontal impact -aortic & cardiac injury, rib fxs, liver & spleen -dash board posterior hip fx/dislocation, femur, knee injury lateral impact -head/facial, c spine,...

TCRN Review - Continuum of Care for Trauma Injury Prevention, Patient Safety, Patient Transfer,Forensic Issues, End-of-life Issues and Rehabilitation What are the 8 components to the Trauma System? - CORRECT ANSWER 1. Rapid identification of the injury, followed by easy access to EMS with a central dispatching system 2. Appropriately trained and appropriate level of EMS providers available on scene 3. Pre-hospital triage protocols authorizing EMS providers to make triage decisions before th...

TCRN Review Extremity and Wound Trauma Musculoskeletal Trauma, Surface and Burn Trauma with 249 Questions with Answers List some special considerations for abrasions. - CORRECT ANSWER Pain control - full thickness abrasions may be associated with nerve damage and may have less pain Evaporative heat loss - consider warming measures Evaporative fluid loss - consider need for fluid replacement Scarring - anesthetize wound and aggressively remove debris Define contusion. - CORRECT ANSWER Ru...