Trauma Nurse Core Course (TNCC) 2025 – 400 Free Practice Questions to Pass the Exam

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What should be monitored frequently in a trauma patient to assess fluid resuscitation effectiveness?

Temperature

Vital signs and urine output

Monitoring vital signs and urine output is crucial in assessing the effectiveness of fluid resuscitation in trauma patients. Vital signs, including heart rate, blood pressure, and respiratory rate, provide immediate feedback on the patient's hemodynamic status. An increase in blood pressure or a decrease in heart rate may indicate improved perfusion and adequate fluid resuscitation.

Urine output is another essential indicator; it reflects renal perfusion and overall fluid balance in the body. A urine output of at least 30 mL per hour is often considered a benchmark for adequate kidney perfusion and fluid resuscitation. This metric helps healthcare providers determine if the fluid administration is restoring the patient's circulatory volume to an effective level.

While other factors like temperature, oxygen saturation, and blood glucose levels can provide useful information, they do not offer as direct an assessment of fluid status and hemodynamic stability as vital signs and urine output do. Therefore, focusing on these two areas gives a clearer picture of the patient's response to fluid resuscitation.

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Oxygen saturation levels

Blood glucose levels

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