TNCC 8TH EDITION STUDY QUESTIONS

TNCC 8TH EDITION STUDY QUESTIONS All of these are considered a critical communication point in trauma care EXCEPT which of the following? - CORRECT ANSWER-Defusings A defusing is part of critical incident stress management but is not considered a critical communication point in trauma care. .During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. What priority nursing intervention should be performed next? - CORRECT ANSWER-Insert an oropharyngeal airway if there is no gag reflex Snoring respirations may indicate airway obstruction from the tongue. Insert an airway adjunct to alleviate obstruction by the tongue. Oropharyngeal airways can be used in patients without a gag reflex. Which of the following is NOT considered a benefit of debriefings? - CORRECT ANSWER-Identifying individuals who made mistakes during the traumatic event Debriefings are not used to single out individuals who made mistakes. Debriefings are used to provide an opportunity to review performance and identify areas for improvement with a sharing of individual responses. What physiologic change in the elderly population increases the risk of traumatic injury? - CORRECT ANSWER-Decreased subcutaneous fat Decreased subcutaneous fat and thinning of the skin increases the risk of injuries from soft tissue trauma and increases the risk of hypothermia An intubated and sedated patient in the emergency department has multiple extremity injuries with the potential for causing compartment syndrome. What is the most reliable indication of compartment syndrome in a patient who is unconscious? - CORRECT ANSWER-Pressure Pressure can be assessed in the limb by palpation or direct measurement. The compartment or limb will feel tight or tense upon palpation. The skin may also appear taut and shiny. When is the tertiary survey completed for a trauma patient? - CORRECT ANSWERWithin 24 hours of the trauma The tertiary survey consists of a complete examination performed following the primary and secondary surveys and within 24 hours after trauma to identify any injuries missed during the initial assessment. A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by pain medications. Which of the following is the priority nursing intervention? - CORRECT ANSWER-Elevating the extremity to the level of the heart Elevating the extremity higher than the heart can reduce circulation and tissue perfusion if compartment syndrome is suspected.