SOLVED1055
You are working in the ED when a 27-year-old man runs through the door with a blood-soaked towel over his left hand. D.W., a machinist, states he caught his hand in an automatic shear and cut off his left index finger. His coworker has the finger wrapped in a paper towel. You grab a pair of gloves while you direct D.W. to lie on a stretcher where you remove the towel and apply firm pressure to the stump with sterile sponges. Another nurse takes his VS and announces 196/122, 144, 22. To distract him, you gather information about his PMH, allergies, and tetanus status. He has a history of depression, for which he takes Prozac, and he is allergic to Darvocet. He has no significant medical history other than depression. 1. You examine D.W.’s hand. What is the priority action? What should you include in your initial assessment, and why? 2. D.W.’s stump is bleeding profusely. Would you apply a tourniquet to the end of the finger or not, and why? 3. An x-ray of the index finger reveals an amputation of the proximal DIP joint. The fracture has left a jagged protruding bone that can be seen from the
SCIENCE
HEALTH SCIENCE
NURSING
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