A patient with a suspected femur fracture has pale, cool skin, a weak rapid pulse, and falling blood pressure. Which nursing action is the priority?
Correct answer: B. Apply direct pressure to visible bleeding
- A. Elevate the injured leg above the heart
- B. Apply direct pressure to visible bleeding
- C. Offer oral water in small amounts
- D. Begin active range-of-motion exercises
Explanation
The signs indicate shock from possible major blood loss, so controlling external haemorrhage is an immediate circulation priority. Oral fluids and movement are unsafe, and elevation does not control significant bleeding from a femur injury.
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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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