The nurse receives a call from a client who reports a deep, long cut to the left hand sustained while slicing a bagel and asks the nurse what to do. Which action should the nurse direct the client to take?
1. Elevate the arm above the head and apply ice and pressure while en route to the emergency department.
2. Apply heat and pressure en route to the emergency department.
3. Apply ice and elevate the arm.
4. Apply pressure and elevate the arm.
1
Rationale 1: The nurse would advise the client to apply ice because it will cause vasoconstriction, and to elevate the arm while applying direct pressure to the wound in order to slow the bleeding process. The client should be directed to the emergency department for further treatment.
Rationale 2: Heat would increase blood flow to the wound and is not recommended.
Rationale 3: Direct pressure needs to be applied and the client needs to go to the emergency department.
Rationale 4: Ice needs to be applied and the client needs to go to the emergency department.
Global Rationale: The nurse would advise the client to apply ice because it will cause vasoconstriction, and to elevate the arm while applying direct pressure to the wound in order to slow the bleeding process. The client should be directed to the emergency department for further treatment. Heat would increase blood flow to the wound and is not recommended.
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