Preview (2 of 2 Pages)100%Purchase to unlockPage 1Loading page ...TNCC NURSING PROCESS 2024 LATEST |ALREADY GRADED A+ TESTBANKA - primary survey - ANS- Across the room- Airway- Alertness (AVPU)B - primary survey - ANSBreathing and ventilationC - primary survey - ANSCirculation and bleeding (control of hemorrhage)D - primary survey - ANSDisability (neurologic status) - GCSE - primary survey - ANS- Expose- Environment controlF - primary survey - ANS- Full set of vitals- Facilitate family presenceG - primary survey - ANS- Get monitoring devices- Give comfort (LMNOP)GCS - part of D (disability (neurologic status) - ANSE/4 - spontaneous/4, speech/3,pain/2, none/1V/5 - oriented/5, confused/4, inappropriate/3 incomprehensible/2, none/1M/6 - obeys/6, localizes/5, withdraws/4, decorticate/3, decerebrate/2, none/1H - secondary survey - ANS- Head-to-toe assessment (LACE (secondary assessment)- History: MIST (pre-hospital) and SAMPLE (pt hx)I - secondary survey - ANSInspect posterior surfacesJ - secondary survey - ANSJust keep re-evaluatingL - ANSLabsLACE - part of H (head-to-toe) - ANSlacerations, abrasions/avulsions, contusions,edema/ecchymosisM - ANSMonitor - obtain HR and rhythmMIST - part of (H) pre-hospital report in secondary survey - ANSM - MOII - injuries sustainedS - S/Sx in the fieldT - tx in the fieldPage 2Report