Practice Question
An occupational health nurse is instructing workers at an industrial facility about emergency procedures to follow in the event of a traumatic amputation. Which of the following guidelines should the nurse include about preserving the amputated part for possible surgical reattachment? (Select all that apply.)
Answer Choices:
Correct Answer:
Put the severed part in a plastic bag.
Rationale:
🟢 Put the severed part in a plastic bag
🟢 Placing the amputated part in a clean plastic bag protects it from environmental contamination.
🟢 The bag serves as a barrier that prevents exposure to moisture, bacteria, and debris.
🟢 This step helps maintain tissue integrity and reduces the risk of infection.
🟢 Proper containment is essential to preserve the part until surgical evaluation is possible.
🟢 Prevent the severed part from coming in contact with water
🟢 Direct contact with water can cause tissue maceration and cellular swelling.
🟢 Water exposure increases the risk of cell damage and infection, reducing reattachment success.
🟢 Maintaining a dry environment preserves cellular viability.
🟢 This is a critical principle in emergency trauma care involving amputations.
🟢 Wrap the part in sterile gauze
🟢 Wrapping the amputated part in sterile gauze protects exposed tissue from mechanical injury.
🟢 Sterile coverage reduces microbial contamination.
🟢 Gauze also helps maintain structural integrity during transport.
🟢 This step supports optimal conditions for possible surgical reattachment.
❌ Incorrect Answer Rationales
🔴 Scrub the severed part with antibacterial solution
🔴 Scrubbing causes mechanical trauma to already compromised tissue.
🔴 Antibacterial solutions can be cytotoxic, damaging fragile cells needed for reattachment.
🔴 This action decreases tissue viability rather than protecting it.
🔴 Gentle handling is always preferred over aggressive cleansing.
🔴 Place the severed end of the part directly into crushed ice
🔴 Direct contact with ice can cause frostbite and cellular destruction.
🔴 Extreme cold damages microvasculature essential for tissue survival.
🔴 Cooling should be indirect, never in direct contact with ice.
🔴 Improper cooling significantly reduces the success of reattachment procedures.
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This question is from Custom VN200 Med Surg 1 Exam 8_Grief Hospce 1stAid CA_S24 which contains 60 questions.
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Custom VN200 Med Surg 1 Exam 8_Grief Hospce 1stAid CA_S24
60 Questions
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- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 5