You receive a call to a residence for a 60-year-old man who is bleeding from his dialysis shunt. When you arrive, the patient's wife, who has been properly trained on the use of the dialysis machine, tells you that she panicked and called EMS. The dialysis cannula has loosened from the needle, which is still in the shunt. Your initial action should be to:
A) immediately clamp off the cannula and apply direct pressure.
B) attempt to tighten the connection between the needle and cannula.
C) remove the dialysis needle from the shunt and apply direct pressure.
D) apply direct pressure over the shunt and carefully remove the needle.
Answer: B) attempt to tighten the connection between the needle and cannula.
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