Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)

A 31-year-old man had been cutting logs when the chain saw he was using struck a knot, then kicked back and struck him on the right side of his face and right upper arm. The nurse knows that facial damage sustained from this type of injury would least likely involve the:

During triage, all of the following interventions are indicated for a severe soft-tissue injury except:

The patient complains of loss of sensation in his right index, second, and third fingers. Based on these findings, the nurse would suspect that the patient sustained damage to his:

A four-year-old patient requires a large amount of fluid replacement for hemorrhagic shock. What is the best site for infusion of fluids if a peripheral IV cannot be performed?

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:

Which of the following uncrossed matched blood should be administered for volume resuscitation secondary to hemorrhagic shock?