Question

The nurse in an industrial plant receives a client with a traumatic amputation of a finger. Which action is most appropriate to preserve the amputated finger? A. Place the finger in a plastic bag and place the bag on cold normal saline B. Wrap the finger in Vaseline-saturated gauze \(4 \mathrm{X} 4\) sponges C. Put the digit on crushed ice in a plastic-covered container D. Place the digit on a saline-soaked \(4 \mathrm{X} 4\) and put it in a plastic bag

Short answer

A. Place the finger in a plastic bag and place the bag on cold normal saline B. Wrap the finger in Vaseline-saturated gauze \(4 \mathrm{X} 4\) sponges C. Put the digit on crushed ice in a plastic-covered container D. Place the digit on a saline-soaked \(4 \mathrm{X} 4\) and put it in a plastic Answer: C. Put the digit on crushed ice in a plastic-covered container

Step-by-step solution

Evaluate each option provided

First, let's evaluate and understand each of the provided options and their potential effects on the amputated finger preservation. A. Place the finger in a plastic bag and place the bag on cold normal saline: This option provides a cold environment which could help to preserve the amputated part. B. Wrap the finger in Vaseline-saturated gauze \(4 \mathrm{X} 4\) sponges: The Vaseline could potentially help preserve the amputated part; however, this option doesn't provide a cold environment. C. Put the digit on crushed ice in a plastic-covered container: This option provides a cold environment and protects the digit from direct contact with the ice, avoiding possible damage due to freezing. D. Place the digit on a saline-soaked \(4 \mathrm{X} 4\) and put it in a plastic: This option doesn't provide the necessary cold environment for preservation.

Choose the appropriate option

Considering that a cold environment is important for preserving the amputated finger and avoiding direct ice contact is also crucial, the most appropriate option is: C. Put the digit on crushed ice in a plastic-covered container This option provides a cold environment that slows down cell degradation, and the plastic covering protects the digit from direct contact with the ice, preventing possible freezing damage.

Key concepts

Nursing Emergency Procedures

When faced with a traumatic amputation in an industrial setting, nurses must act swiftly and efficiently to optimize patient outcomes. Initial steps include controlling bleeding by applying direct pressure and raising the limb above heart level. It's crucial to maintain the patient's safety and watch for shock signs, such as clamminess or rapid pulse.

Keeping calm and offering reassurance can help reduce the patient's anxiety, which is essential for preventing further complications. Similarly, rapid assessment and ongoing monitoring of vital signs are necessary to ensure hemodynamic stability. Documenting all actions and observations, and communicating effectively with the rest of the healthcare team, are fundamental aspects of emergency nursing procedures.

Preservation of Amputated Part

An amputated part like a finger can be preserved effectively if handled carefully. The correct procedure involves rinsing the part gently with clean water, wrapping it in moist gauze, and then placing it in a waterproof bag. The bag should then be placed on a bed of ice, ensuring that the amputated part is not in direct contact with the ice, which could cause frostbite and additional tissue damage.

Proper labeling of the preserved part with the patient's information and details about the time of the injury is essential, as it will aid in the potential reattachment process. Understanding the best practices for the preservation of amputated parts is also a crucial component of training for emergency responders and healthcare providers.

First Aid for Amputation

First aid for amputation is a critical skill set that can significantly influence the patient's recovery and the possibility of reattachment of the amputated limb. The primary goals are to stop bleeding, prevent infection, and preserve the amputated part. After calling for professional medical help, one should apply steady pressure with a clean cloth to control bleeding.

If trained and considered safe, a tourniquet may be applied above the injury site. The amputated part should be handled minimally to prevent further damage. As discussed earlier, correctly preserving the amputated limb or digit is critical and must be done following established medical guidelines.

NCLEX-RN Exam Preparation

Preparing for the NCLEX-RN exam requires a thorough understanding of nursing principles, including emergency responses to situations like traumatic amputations. Prospective nurses must familiarize themselves with the appropriate interventions and rationale behind each step. Study plans should include a blend of content review, practice questions, and simulation exercises.

Resources such as textbooks, online platforms, and practical workshops can help deepen the understanding of emergency procedures, ensuring that nurses are equipped not only to pass the exam but also to provide the best care in real-world scenarios. Regular self-assessment can identify areas needing further study, and active engagement in study groups or discussions can provide valuable insights and reinforce learning outcomes.