Exam (elaborations)
TNCC Written Exam 2024
- Course
- TNCC
- Institution
- Chamberlain College Of Nursng
TNCC Written Exam 2024
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TNCC Written Exam 2024 What ccare ccthe cclate ccsigns ccof ccbreathing cccompromise? cc- cc cc cc- ccTracheal ccdeviation cc- ccJVD cc ccWhat ccare ccsigns ccof ccineffective ccbreathing? cc- cc cc cc- ccAMS cc- ccCyanosis, ccespecially ccaround ccthe ccmouth cc- ccAsymmetric ccexpansion ccof ccchest ccwall cc- ccParadoxical ccmovement ccof ccthe ccchest ccwall ccduring ccinspiration ccand ccexpiration cc- ccUse ccof ccaccessory ccmuscles ccor ccabdominal ccmuscles ccor ccboth ccor ccdiaphragmatic ccbreathing cc- ccSucking ccchest ccwounds cc cc- ccAbsent ccor ccdiminished ccbreath ccsounds cc- ccAdminister ccO2 ccvia ccNRB ccor ccassist ccventilations ccwith cca ccbag-mask ccdevice, ccas ccindicated cc- ccAnticipate ccdefinitive ccairway ccmanagement ccto ccsupport ccventilation. cc ccUpon ccinitial ccassessment, ccwhat cctype ccof ccoxygen ccshould ccbe ccused ccfor cca ccpt ccbreathing cceffectively? cc- cc cc ccA cctight-fitting ccnonrebreather ccmask ccat cc12-15 cclpm. cc ccWhat ccintervention ccshould ccbe ccdone ccif cca ccpt ccpresents ccwith cceffective cccirculation? cc- cc cc cc- ccInsert cc2 cclarge cccaliber ccIV's cc- ccAdminister ccwarmed ccisotonic cccrystalloid ccsolution ccat ccan ccappropriate ccrate cc ccWhat ccare ccsigns ccof ccineffective cccirculation? cc- cc cc cc- ccTachycardia cc- ccAMS cc- ccUncontrolled ccexternal ccbleeding cc- ccPale, cccool, ccmoist ccskin cc- ccDistended ccor ccabnormally ccflattened ccexternal ccjugular ccveins cc- ccDistant ccheart ccsounds cc ccWhat ccare ccthe ccinterventions ccfor ccEffective/Ineffective ccCirculation? cc- cc cc cc- ccControl ccany ccuncontrolled ccexternal ccbleeding ccby: cc- ccApplying ccdirect ccpressure ccover ccbleeding ccsite cc- ccElevating ccbleeding ccextremity cc- ccApplying ccpressure ccover ccarterial ccpressure ccpoints cc- ccUsing cctourniquet cc(last ccresort). cc- ccCannulate cc2 cclarge -caliber ccIV's ccand ccinitiate ccinfusions ccof ccan ccisotonic cccrystalloid ccsolution cc- ccUse ccwarmed ccsolution cc- ccUse ccpressure ccbags ccto ccincrease ccspeed ccof ccIVF ccinfusion cc- ccUse ccblood ccadministration cctubing ccfor ccpossible ccadministration ccof ccblood cc- ccUse ccrapid ccinfusion ccdevice ccbased ccon ccprotocol cc- ccUse ccNS cc0.9% ccin ccsame cctubing ccas ccblood ccproduct cc- ccIV cc= ccsurgical cccut-down, cccentral ccline, ccor ccboth. cc- ccBlood ccsample ccto ccdetermine ccABO ccand ccRh ccgroup cc- ccIO ccin ccsternum, cclegs, ccarms ccor ccpelvis cc- ccAdminister ccblood ccproducts cc- ccPASG cc(without ccinterfering ccwith ccfluid ccresuscitation) cc ccWhat ccare ccfactors ccthat cccontribute ccto ccineffective ccventilation? cc- cc cc cc- ccAMS cc- ccLOC cc- ccNeurologic ccinjury cc- ccSpinal ccCord ccInjury cc- ccIntracranial ccInjury cc- ccBlunt cctrauma cc- ccPain cccaused ccby ccrib ccfractures cc- ccPenetrating ccTrauma cc- ccPreexisting cchx ccof ccrespiratory ccdiseases cc- ccIncreased ccage cc ccWhat ccmedications ccare ccused ccduring ccintubation? cc- cc cc ccLOAD ccMnemonic: ccL cc= ccLidocaine ccO cc= ccOpioids ccA cc= ccAtropine ccD cc= ccDefasiculating ccagents cc ccWhat ccare ccthe ccRapid ccSequence ccIntubation ccSteps? cc- cc cc ccPREPARATION: cc cc- ccgather ccequipment, ccstaffing, ccetc. PREOXYGENATION: cc cc- ccUse cc100% ccO2 cc(prevent ccrisk ccof ccaspiration). PRETREATMENT: cc cc- ccDecrease ccS/E's ccof ccintubation PARALYSIS ccWITH ccINDUCTION: cc cc- ccPt cchas ccLOC, ccthen ccadminister ccneuromuscular ccblocking ccagent PROTECTION ccAND ccPOSITIONING: cc cc- ccApply ccpressure ccover cccricoid cccartilage cc(minimizes cclikelihood ccof ccvomiting ccand ccaspiration PLACEMENT ccWITH ccPROOF cc- ccEach ccattempt ccNOT ccto ccexceed cc30 ccseconds, ccmax ccof cc3 ccattempts. ccVentilate ccpt cc30-60 ccseconds ccbetween ccattempts. cc- ccAfter ccintubation, ccinflate ccthe cccuff cc- ccConfirm cctube ccplacement ccw/exhaled ccCO2 ccdetector. POSTINTUBATION ccMANAGEMENT: cc- ccSecure ccET cctube cc- ccSet ccventilator ccsettings cc- ccObtain ccChest ccx-ray cc- ccContinue ccto ccmedicate cc- ccRecheck ccVS ccand ccpulse ccoxtimetry cc ccWhat ccis cca ccCombitube? cc- cc cc ccA ccdual-lumen, ccdual-cuff ccairway ccthat cccan ccbe ccplaced ccblindly ccinto ccthe ccesophagus ccto ccestablish ccan ccairway. ccIf ccinadvertently ccplaced ccinto cctrachea, ccit cccan ccbe ccused ccas cca cctemporary ccET cctube. ccThere ccare cconly cctwo ccsizes: ccsmall ccadult ccand cclarger ccadult. cc ccWhat ccis cca ccLaryngeal ccMask ccAirway? cc- cc cc ccLooks cclike ccan ccET cctube ccbut ccis ccequipped ccwith ccan ccinflatable, ccelliptical, ccsilicone ccrubber cccollar ccat ccthe ccdistal ccend. ccIt ccis ccdesigned ccto cccover ccthe ccsupraglottic ccarea. cc ILMA, ccdoes ccnot ccrequire cclaryngoscopy ccand ccvisualization ccof ccthe ccchords. cc ccWhat ccis ccNeedle ccCricothyrotomy cc- cc cc ccPercutaneous cctranstracheal ccventilation. cc(temporary) Complications ccinclude: cc cc- ccinadequate ccventilation cccausing cchypoxia cc- cchematoma ccformation cc- ccesophageal ccperforation cc- ccaspiration cc- ccthyroid ccperforation cc- ccsubcutaneous ccemphysema cc ccWhat ccis ccSurgical ccCricothyrotomy? cc- cc cc ccMaking ccan ccincision ccin cccricothyroid ccmembrane ccand ccplacing cca cccuffed ccendo ccor cctrach cctube ccinto cctrachea. ccThis ccis ccindicated ccwhen ccother ccmethods ccof ccairway ccmanagement cchave ccfailed ccand ccpt cccannot ccbe ccadequately ccventilated ccand ccoxygenated. cc Complications ccinclude: cc- ccAspiration cc- ccHemorrhage ccor cchematoma ccformation ccor ccboth cc- ccLac ccto cctrachea ccor ccesophagus cc- ccCreation ccof cca ccfalse ccpassage cc- ccLaryngeal ccstenosis cc ccHow ccdo ccyou ccconfirm ccET ccTube/Alternative ccAirway ccPlacement? cc- cc cc cc- ccVisualization ccof ccthe ccchords cc- ccUsing ccbronchoscope ccto ccconfirm ccplacement cc- ccListening ccto ccbreath ccsounds ccover ccthe ccepigastrum ccand ccchest ccwalls ccwhile ccventilating ccthe ccpt cc- ccCO2 ccdetector cc- ccEsophageal ccdetection ccdevice cc- ccChest ccx-ray cc ccHow ccdo ccyou ccinspect ccthe ccchest ccfor ccadequate ccventilation? cc- cc cc ccObserve: cc- ccmental ccstatus cc- ccRR ccand ccpattern cc- ccchest ccwall ccsymmetry cc- ccany ccinjuries cc- ccpatient's ccskin cccolor cc(cyanosis?) cc- ccJVD ccor cctracheal ccdeviation? cc(Tension ccpneumothorax) cc ccWhat ccare ccyou cclooking ccfor ccwhen ccauscultating cclung ccsounds? cc- cc cc ccAbsence ccof ccBS: cc- ccPneumothorax cc- ccHemothorax cc- ccAirway ccObstruction Diminished ccBS: cc- ccSplinting ccor ccshallow ccBS ccmay ccbe cca ccresult ccof ccpain cc ccWhat ccare ccyou cclooking ccfor ccwhen ccpercussing ccthe ccchest? cc- cc cc ccDullness:
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