A patient has severe bleeding from an injured lower limb. Direct pressure and wound packing do not control the bleeding, and the patient becomes pale and confused. Which action is the priority?
Correct answer: B. Apply a tourniquet proximal to the wound
- A. Elevate the limb and observe closely
- B. Apply a tourniquet proximal to the wound
- C. Remove clots from the wound with gauze
- D. Give oral fluids while awaiting review
Explanation
Life-threatening extremity haemorrhage that is not controlled by pressure requires a tourniquet placed proximal to the wound. Confusion and pallor indicate possible shock, so rapid haemorrhage control takes priority over oral fluids or further wound exploration.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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