A child comes to the school nurse with his index finger partially amputated and hanging by a shred of skin and muscle. What is the best action by the nurse?
a. Flush the hand with warm water and wrap it in a towel.
b. Carefully cut the skin holding the finger and wrap the finger and hand in a clean towel.
c. Pinch the finger to stop the bleeding and take the child to the hospital.
d. Wrap the hand and finger securely and place it on an ice water–filled plastic bag.
D
The nurse should leave the shred of skin and muscle intact, wrap the hand and finger in a towel soaked in normal saline, and place it on a cool surface.
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