Kaplan University, Davenport COMPUTER SCIENCE COMPUTER TCRN QUESTION AND ANSWER

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Question: 511 The nurse assesses the patient and discovers that the patient has apraxia confabulation. Which consultorder is most appropriate for this patient? A. Speech therapy B. Occupational th... erapy (OT) C. Physical therapy (PT) D. Psychologist Answer: A Explanation: Speech therapy aids motor speech disorders, such as problems saying sounds, syllables, and words. This speech abnormality occurs not because of muscle weakness or paralysis. The brain has problems in planning to move body parts, such as the lips, jaw, and tongue, needed for speech. The patient knows what he or she wants to say, but his or her brain has difficulty coordinating the muscle movements necessary to say those words; so the patient fabricates in order to achieve desired outcomes. Occupational therapy (OT), physical therapy (PT), and a psychologist are not the specialists needed to improve this speech apraxia. Question: 512 the shaft of her radius. Which of the following injuries is least associated with radial fractures? A. Wrist fracture B. Clavicle fracture C. Elbow fracture D. Shoulder fracture E. Ms. Carrington slipped and fell while at homShe attempted to brace herself for the fall and fractured Answer: B Explanation: When the shaft of the radius and ulna is fractured this means that enough force was applied to fracture the shaft, and the force could be transmitted to the affiliated joints such as the wrist, elbow, and shoulder. The clavicle could be fractured in this type of injury; however, it would not be from the impact of the initial injury to the shaft. Question: 513 A 23-year-old male patient comes in after a nuclear explosion. He is unresponsive and agonal breathing.What would be the caregiverÆs first priority be in the care of this particular situation? This study source was downloaded by 100000842722785 from CourseHero.com on 10-08-2022 06:23:45 GMT -05:00 https://www.coursehero.com/file/66600141/TCRNpdf/ A. Decontaminate the patient to limit exposure to others and then initiate resuscitation efforts. B. The health care provider should initiate resuscitation efforts. C. The health care provider should rapidly place all contaminated objects, including clothing, into a D. Place a waterproof drape over the patient and immediately begin resuscitation efforts. Answer: B Explanation: It is rare that an irradiated patient would infect a health care provider and spread the contamination to other patients, so all resuscitation and lifesaving efforts should be initiated before any decontamination begins. Wounds can be covered with waterproof drapes before decontamination to prevent further contamination Question: 514 A patient comes to the emergency room with burns to bilateral lower extremities, groin, and the anteriorchest and abdominal walls. Using the rule of nines, what is the appropriate calculation of the percentageof total body surface area burned? A. 55% of the body B. 31% of the body C. 28% of the body D. 45% of the body Answer: A Explanation: The rule of nines is calculated with each body part totaling a value of nine. The head = 9%, chest (anterior) = 9%, abdomen (anterior) = 9%, upper/mid/low back and buttocks = 18%, each arm = 9%, each palm = 1%, groin = 1%, each leg = 18% total (front = 9%, back = 9%). In this scenario, the bilateral lower extremities wound accounts for 36% (18% Î 2), the groin 1%, the anterior chest 9%, and abdomen 9%. This adds up to 55% of the total body surface area burned. Question: 515 Proper medical management of a traumatic brain injury patient includes all except: A. Administering analgesics B. Administering 3% saline infusion C. Maintaining cerebral perfusion pressure (CPP) greater than 60 D. Administering steroids Answer: D Explanation: This study source was downloaded by 100000842722785 from CourseHero.com on 10-08-2022 06:23:45 GMT -05:00 https://www.coursehero.com/file/66600141/TCRNpdf/ Administering steroids has not been revealed to improve outcomes and is currently not recommended in traumatic brain injury (TBI) treatment. Analgesics decrease intracranial pressure (ICP) by decreasing pain, agitation, and metabolic demands. Administration of 3% saline infusion decreases cerebral edema, aiding in decreasing ICP. This hypertonic solution increases vascular osmolality and increases perfusion to vital organs. Maintaining CPP greater than 60 increases cerebral blood flow Question: 516 nursing intervention for this patient? A. Obtain intravenous access to start fluid resuscitation B. Place a sterile dressing on the burn site C. Prepare for intubation D. Obtain a history of comorbidities and home medications E. The nurse receives a patient with third-degree burns to the facWhich of the following is the priority Answer: C Explanation: Burn patients are treated just like any other trauma patient; the priority is the airway. Patients who suffer from burns to the face, neck, or have obvious inhalation injury should have their airway assessed first and will mostly likely require intubation. This should be assessed before history is obtained, intravenous catheters are placed for fluid resuscitation, or wound care is provided. Question: 517 There are many complications from cardiac contusions. Which of the following is not considered one ofthem? A. Cardiogenic shock B. Congestive heart failure C. Hypovolemic shock D. Thrombus formation Answer: C Explanation: Complications of cardiac contusions include arrhythmias, cardiogenic shock, depressed ventricular wall motion, congestive heart failure, and thrombus formation/embolism. Hypovolemic shock is not a complication of a cardiac contusion. Hypovolemic shock occurs with large blood loss. Question: 518 What is the data-collection system that is composed of uniform data elements that describe the injuryevent, demographics, prehospital information, diagnosis, care and outcomes of injured patients? [Show More]

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