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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

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Medical-Surgical
  • Answer Choices: 5
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