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Expedite transfer to the closest trauma center A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for this patient? a pertinent medical hx is crucial Which of the following considerations is the most important when caring for a geriatric trauma pt? Mitigation Following a review of recent drills and a rea...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? Airway/Intubate Lab evidence of cellular perfusion Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? Biologic Suspected shock type with a spinal cord injury Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one ...

TNP Trauma Nursing Process Rienforces a systemic and standardized approach to trauma nursing care and skills using an intergeated approach to trauma teamwork, communication and collabration Trauma Leading cause of death ages 1-44 approx one person every 3 min brief Planned teamwork event designated to form a team, designate team roles and responsibilities, establish climate goals, and engage in team short and long term goals huddle Ideally convened prior to trauma arriva...

The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? endotracheal tube Tearing of the bridging veins is most frequently associated with which brain injury? subdural hematoma A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values is expected with a musculoskeletal complication associated with this presentation? Elevated creatine kinas...

What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? Vasoconstriction What results from tissue hypo perfusion and oxygen deficit? Metabolic acidosis What type of shock results in generalized vasodilation? Neurogenic shock Spinal cord injuries at C3-C5 causes los...

The major cause of preventable death after injury Uncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation Base deficit Examples of primary blast injuries Blast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage Examples of secondary blast injuries Wounds from debris and bomb fragments Examples of tertiary blast injuries Blunt or penetrating trauma from the body being thrown by the b...

TNCC 8th Edition exam 2022/2023 with 100% correct answers

1. Preparation and Triage 2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 3. Reevaluation (consideration of transfer) 4. Secondary Survey (HI) with reevaluation adjuncts 5. Reevaluation and post resuscitation care 6. Definitive care of transfer to an appropriate trauma nurse Initial Assessment 1. A- airway and Alertness with simultaneous cervical spinal stabilization 2. B- breathing and Ventilation 3. circulation and control of hemorrhage 4. D - disability (neurologi...

The most common cause of intestinal obstruction is: A. Adhesion B. Tumor C. Ischemic bowel D. Umbilical hernia A- adhesion A firm liver on physical exam is usually associated with: A. Ascites B. Passive congestion C. Cirrhosis D. Hepatic carcinoma B- Passive congestion Differential diagnosis of lower GI Bleed -Diverticulum hemmorhage -Occult neoplastic -Colitis (infectious, ischemic, radiation, ulcerative colitis >Crohn's disease) -Angiodysplasia -Anorectal (fiss...

Tx of infectious Post-op fever #1 Supportive fluid therapy and APAP #2 Treat underlying source #3 Gram stain and C & S all invasive lines or catheters as indicated. What is the best intervention for fever of unknown origin? Nothing until the diagnosis is confirmed. Major syndromes causing fever - S/S of each and TX Serotonin syndrome - SSRI use, clonus, hyperreflexia, ataxia, mental status changes, restlessness, confusion, agitation, coma, seizure, diaphoresis, hyperthermia, m...

NCSBN EXAM 2022/2023 WITH 100% CORRECT ANSWERS NCSBN Practice Questions 16-30 and answers 2022/2023 NCSBN Practice Questions 46-60 and answers 2022/2023

pregnancy induced hypertension complications preeclampsia which may turn into eclampsia prior to, during, or after delivery (up to 10 days) the clinic nurse is assisting with medical billing. The DRG manual is used for what? find reimbursement for a medical diagnosis The prospective payment plans for reimbursement of medicare clients is found in the diagnosis related group (DRG) manual what is a orchiectomy? removal of the testicles leaving the scrotum and penis. ...

The nurse is performing a physical assessment on a client who just had an endotracheal tube (ET) inserted with a connection to a ventilator. Which finding should prompt the nurse to take immediate action to resolve the issue? A. Client is unable to speak B. Mist is visible in the T-Piece of the ventilator circuit C. Pulse oximetry of 86% saturation D. Breath sounds are heard bilaterally C Pulse oximetry should not be lower than 90% saturation. Breath sounds are heard bilaterally so the p...

A client is admitted with low T3 and T4 levels and an elevated thyroid stimulating hormone (TSH) level. On initial assessment, the nurse should anticipate which of these findings? A. Lethargy B. Diarrhea C. Heat intolerance D. Skin eruptions A In hypothyroidism the metabolic activity of all cells of the body decreases, reducing oxygen consumption, decreasing oxidation of nutrients for energy, and producing less body heat. Therefore, the nurse can expect the client to report being constip...

The nurse is coordinating care for a postpartum client and her newborn with the unlicensed assistive personnel (UAP). The mother is human immunodeficiency virus (HIV) positive. The nurse would recognize the need to educate the UAP, who is observed doing which of the following actions? A. Assist the mother who is attempting to breastfeed her baby B. Place the infant on his or her back in the bassinet C. Wear gloves while changing the newborn's soiled diaper D. Assist the mother to walk to ...

The nurse is educating a client about how to use a metered-dose inhaler with spacer. Drag and drop the options below in the order that demonstrates correct use of a metered-dose inhaler with spacer. A. Remove the mouthpiece from the lips B. Breathe out slowly C. Breathe in deeply D. Hold breath for 10 seconds E. Release the medication into the spacer E, C, A, D, B Release the medication into the spacer. Breathe in deeply. Remove the mouthpiece, then hold breath for 10 seconds, then bre...

The nurse is providing discharge teaching for a client with a long leg cast. During instructions, the nurse should recommend which of these exercises for the affected extremity? A. Aerobic B. Range of motion C. Isometric D. Isotonic C A nurse should instruct the client on isometric exercises for the muscles of the casted extremity. This means the client should be instructed to alternately contract and relax muscles without moving the affected part. The client should also be instructed to...

It is the start of the shift and the nurse has just finished listening to a report on four clients. Which client should the nurse assess first? A. A client with a diagnosis of an acute traumatic brain injury who has a blood pressure of 88/58 B. A client with a diagnosis of a concussion and who doesn't remember the motor vehicle accident C. A client diagnosed with viral meningitis and has signs of meningeal irritation D. A client diagnosed with generalized seizures who complains of a heada...

Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg true or false True During any patient transferring task, if any caregiver is required to lift a patient who weighs more than 35 lbs/15.9 kg, then the patient should be considered fully dependent, and assistive devices should be used for transfer If a draining wound tests positive for MRSA, the patient is placed on contact precautions True or False True Patients with abscess or draining wound...

The nurse is reviewing the laboratory results for several clients. Which of the laboratory result indicates a client with partly compensated metabolic acidosis? Chloride 100 mEq/L (100 mmol/L) Sodium 130 mEq/L (130 mmol/L) Hemoglobin 15 g/dL (150 g//L) PaCO2 30 mm Hg PaCO2 30 mm Hg The client is admitted to an ambulatory surgery center and undergoes a right inguinal orchiectomy. Which option is the priority before the client can be discharged to home? Able to ambulate in t...