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TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED EXAM 2024/2025 $17.49   Add to cart

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TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED EXAM 2024/2025

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TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED EXAM 2024/2025

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  • August 22, 2024
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  • 2024/2025
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  • TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED
  • TRAUMA NURSING PROCESS - TNP - TNCC 9TH ED
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TRAUMA NURSING PROCESS - TNP -
TNCC 9TH ED EXAM 2024/2025

What should you ask yourself after completing all of your interventions and reassessments? - Precise
Answer ✔✔Does this patient need to be transferred to another hospital, to surgery, or to critical care?



What happens prior to patient arrival? 1-3 - Precise Answer ✔✔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 - Precise Answer ✔✔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

8**. Assess breathing effectiveness



Continue the TNP assuming the patient was intubated. 9-11 - Precise Answer ✔✔9**. If intubated,
assess endotracheal tube placement

10. If intubated, assess ETT position and securement

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 - Precise Answer ✔✔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 - Precise Answer ✔✔16. Provide warmth

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

18. Facilitate family presence



Continue the TNP using the LMNOP mnemonic. 19-23 - Precise Answer ✔✔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 - Precise Answer ✔✔24. Non-
pharmacological comfort measures

25. Consider analgesic med order

26. Obtain pertinent history



Head-to-Toe 27-43 - Precise Answer ✔✔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).

30. Inspect and palpate chest for injuries

31. Auscultate breath sounds

32. Auscultate heart sounds

33. Inspect the abdomen for injuries

34. Auscultate bowel sounds

35. Palpate all four quadrants of the abdomen for injuries

36. Inspect and palpate the flanks for injuries

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