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Trauma Nursing Process - TNP - TNCC 9th Ed Questions and Answers | Latest Update $12.99   Add to cart

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Trauma Nursing Process - TNP - TNCC 9th Ed Questions and Answers | Latest Update

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What should you ask yourself after completing all of your interventions and reassessments? Does this patient need to be transferred to another hospital, to surgery, or to critical care? What happens prior to patient arrival? 1-3 1. Activate trauma team 2. Prepare trauma room 3. Don PPE ...

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  • September 27, 2024
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Trauma Nursing Process - TNP - TNCC
9th Ed Questions and Answers | Latest
Update
What should you ask yourself after completing all of your interventions and reassessments?


✓ Does this patient need to be transferred to another hospital, to surgery,

or to critical care?




What happens prior to patient arrival? 1-3


✓ 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


✓ 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


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,2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
✓ 8**. Assess breathing effectiveness




Continue the TNP assuming the patient was intubated. 9-11


✓ 9**. If intubated, assess endotracheal tube placement

✓ 10. If intubated, assess ETT position and securem ent

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

continue assisted ventilation




Continue the TNP following assessments of ETT. 12-15


**12, 13, and 15 are double-starred


✓ 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


✓ 16. Provide warmth

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


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18. Facilitate family presence




Continue the TNP using the LMNOP mnemonic. 19-23


✓ 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




Continue TNP after LMNOP (so after pain has been assessed). 24-26


✓ 24. Non-pharmacological comfort measures

25. Consider analgesic med order


26. Obtain pertinent history




Head-to-Toe 27-43


✓ 27. Inspect and palpate head for injuries

28. Inspect and palpate face for injuries


29. Inspect and palpate neck for injuries


-- Demonstrate removal AND reapplication of cervical collar for assessment (if indicated).
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