Multiple severely injured clients have arrived in the emergency department.On rapid assessment,the nurse notes that a leg wound dressing has a 4 cm × 6 cm blood spot that has soaked through the bandage.The client is otherwise stable.What action should the nurse take?

A) Place a tourniquet above the wound
B) Remove the dressing and place direct pressure on the wound
C) Add additional dressing to the wound without removing the original
D) Remove the dressing and replace it with a new sterile dressing

Question

Dezmarie Ganuelas · Accepted Answer

Final Answer : C, Explanation :  In this scenario, the best action is to add additional dressing to the wound without removing the original. This is because removing the soaked-through dressing could disturb any clots that have formed, potentially leading to more bleeding. Adding more dressing on top helps to absorb further bleeding while maintaining pressure on the wound site to help control the bleeding. The client is otherwise stable, so a more conservative approach is appropriate.

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