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TNCC FINAL EXAM OPEN BOOK LATEST VESION
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A 27-year-old man who was injured in a house fire and is experiencingrespiratory distress is being treated by you. Because urgent intubation is
required, calculating TBSA burnt is postponed. When is the right time to start
fluid resuscitation?
A) 1000 milliliters per hour
B) 500 milliliters per hour
C) 250 milliliters per hour
Answer B: 500 mL/hr; D: 125 mL/hr
A patient has been waiting to be admitted in the ED for a few hours. After a fall,
he suffered a femur fracture in addition to multiple rib fractures. He's been
complaining of leg pain and staying awake. His spouse claimed to have abruptly
become agitated and perplexed. Upon reevaluation, the patient exhibits
respiratory distress, petechiae to his neck, and restlessness. The patient is
displaying symptoms that are typically linked to which of the following
conditions?
A) severe lung damage
B) fat embolism
C) PTX
D) fat embolism - Answer B) pulmonary contusion
Which description of pulse pressure points to an early hypovolemic shock?
A) expanded
B) reduced in scope
,C) defining
D) feeble - ANSWER B) more focused
When providing care for a patient who has experienced a geriatric trauma,
which of the following factors is most crucial?
A) proceed to the examination
B) past medical records
C) Urinary incontinence
D) falls; medical history (ANSWER B)
Which of the following evaluation results distinguishes a simple pneumothorax
from a tension pneumothorax?
A) a greater effort to breathe
B) One-sided reduction in breath sounds
C) Chest discomfort with pleurisy
D) Hypotension that gets worse when inspired - ANSWER D) Hypotension that
gets worse when inspired.
Anxiety, extreme restlessness, acute respiratory distress, and absent breath
sounds on the damaged side are assessment results linked to tension
pneumothorax. Hypotension brought on by the heart and great vessels being
compressed is compatible with obstructive shock. Because of the higher
intrathoracic pressure during inspiration, hypotension gets worse. Distended
neck veins, tracheal deviation, and cyanosis are examples of late symptoms.
The nurse is determining the patient's fluid resuscitation requirements while
tending to a 120 kg male patient who was brought in following a warehouse
fire. He has superficial burns on the front of his chest and excruciating red
blisters covering every part of his upper limbs. How much IV fluid would be
given in the first eight hours if the total BSA burnt were determined using the
modified Lund and Browder chart?
, A) 2280 milliliters
B) 3840 milliliters
C) 4560 milliliters
ANSWER A) 2280 mL - D) 7680 mL
19% TBSA is equal to (upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5).
4560 milliliters (120 kilogram x 2 mL) x (19% TBSA)
(water consumed in the first eight hours) = 2280 mL
Which of the following describes a part of the death trauma triad?
A) Acidemia
B) extreme heat
C) bleeding
acidosis - ANSWER A) Sepsis
coagulopathy, metabolic acidosis, and hypothermia
An MVC victim, 56 years old, is brought to the emergency department of a
remote critical access hospital. He reports diffuse abdominal pain, SOB, and
neck pain. His GCS is 15. His health status is as follows:
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