Tcrn Test Questions With 100% Correct Answers

Which of the following complications is most likely in a patient who sustains deep abrasions to more than 20% of the body surface area? {Ans: An abrasion, especially a deep one, causes loss of skin. One of the purposes of skin is temperature maintenance, so loss of a large amount of skin may cause evaporative heat loss and hypothermia. Sodium levels are generally not affected by abrasions, but fluid losses associated with a large abrasion may cause dehydration which leads to hypernatremia not hyponatremia. Rhabdomyolysis is caused by the destruction of a large amount of muscle but an abrasion affects skin, not muscle. Compartment syndrome requires intact skin over the area to collect fluid. With an abrasion, the skin cannot hold fluid making compartment syndrome unlikely}An early finding associated with fat embolism syndrome (FES) is: {Ans: One of the early findings often noted in patients who develop fat embolism syndrome is a change in neurological status (e.g. restlessness, agitation, disorientation, etc.) Reduction in blood flow through the pulmonary circulation related to fat globules in the capillaries of the lungs means less blood return to the left ventricle and the blood pressure tends to decrease rather than increase. A