Lacerations for Certified Emergency Nursing (CEN)

The ED nurse is assessing a machinist who sustained an injury to his left hand when his ring finger became caught in a baling machine. The patient sustained multiple lacerations about the wrist and hand as well as significant loss of the skin, soft tissue, and tendons underlying the area. The skin torn from the patient’s finger was transported to the ED in a plastic bag. The patient is right-handed. All of the following initial nursing actions would be appropriate except:

Before a patient’s facial lacerations are treated, the nurse should:

A 22-year-old man is bleeding profusely from a facial laceration when brought to the emergency department (ED). A part of his nose is missing. As the patient screams for help, he shows the nurse the missing nose part in his hand. The priority nursing intervention at this time would be to:

One of a patient’s lacerations extends through his left eyebrow. The nurse responds appropriately by:

After a patient’s lacerations are sutured, the nurse questions the patient and learns he received a tetanus booster 8 months ago. Based on this information, the nurse would:

The ED nurse is assessing a machinist who sustained an injury to his left hand when his ring finger became caught in a baling machine. The patient sustained multiple lacerations about the wrist and hand as well as significant loss of the skin, soft tissue, and tendons underlying the area. The skin torn from the patient’s finger was transported to the ED in a plastic bag. The patient is right-handed. All of the following initial nursing actions would be appropriate except:

When suturing the patient’s lacerations, the nurse practitioner orders lidocaine with epinephrine. However, when anesthetizing the nose wound, the NP requests lidocaine without epinephrine because:

A 22-year-old man is bleeding profusely from a facial laceration when brought to the emergency department (ED). A part of his nose is missing. As the patient screams for help, he shows the nurse the missing nose part in his hand. The priority nursing intervention at this time would be to: