TNCC NOTES FOR WRITTEN EXAM LATEST VERIFIED QUESTIONS WITH COMPLETE EXPERT ANSWERS (GUARANTEED PASS) | RATED A+
What are the nursing interventions for a patient with a maxillofacial or neck injury? -
Answer>>>- Administer oxygen
- For facial trauma, place pt in high-fowler's position if no spinal injury is present.
- Insert OG or NGT. OGT should be used if basilar skull fx or severe midface fx's are suspected
- Monitor for progressive airway assessment
- Prepare for intubation, PRN.
- Cannulate 2 large IV's, initiate isotonic crystalloid IV solution
- Control external bleeding w/direct pressure
- Monitor for continued bleeding + expanding hematomas
- Apply cold compresses to face to minimize edema
- Assist w/repair of oral lac's, PRN
- Admin antibiotics
- Stabilize impaled objects
- Admin analgesic meds
What is the DOPE mnemonic? - Answer>>>D - Displaced tube
- O - Obstruction: Check secretions or pt biting tube
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- P - Pneumothorax: Condition may occur from original trauma or barotrauma from ventilator
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- E - Equipment failure: pt may have become detached from equipment or there's a kink in the
tubing
With any eye injury, what should the evaluation and ongoing assessments be? - Answer>>>-
Reassessing visual acuity at reasonable intervals
- Reassessing pain, including response to nonpharmacologic + pharmacologic interventions
- Monitoring appearance, position, movements of globe and pupillary responses
- Monitoring airway patency, respiratory effort and ABG's