TNCC final exam test 2024 open book | Practice Question and Answers
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Course
TNCC
Institution
TNCC
TNCC final exam test 2024 open book |
Practice Question and Answers
You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating
TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid
resuscitation?
A) 1000...
D) hypotension that worsens with inspiration - Answer✔✔-D) hypotension that worsens with inspiration.
Assessment findings associated with tension pneumothorax include anxiety, severe restlessness, severe
respiratory distress, and absent breath sounds on the injured side. Hypotension due to compression of
the heart and great vessels is consistent with obstructive shock. Hypotension worsens with inspiration
due to increased intrathoracic pressure. Late signs include distended neck veins, tracheal deviation, and
cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's
fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities
and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the
total BSA burned, how much IV fluids would be administered in the first 8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL - Answer✔✔-A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
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