RUHS, Jaipur, PB B.Sc Nursing Entrance-2019
Medical Surgical Nursing
Easy
During first aid, which type of injury requires the application of a ring pad?
Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2019
Explanation
- A ring pad is specifically designed for penetrating injuries where a foreign object remains impaled in the wound.
- The purpose of the ring pad is to build a supportive cushion around the object, stabilizing it and preventing movement.
- This technique avoids direct pressure on the impaled object, which could push it deeper or dislodge it, potentially causing severe internal bleeding.
- Stabilizing the object is a critical step in pre-hospital care to minimize further tissue damage during transport to a medical facility.
Why Other Options Were Wrong
- Option A: Superficial burns require cooling to dissipate heat and a non-adherent dressing to protect the area. A ring pad would trap heat and is not indicated.
- Option B: Superficial lacerations are managed with cleaning and direct pressure to control bleeding, followed by a simple dressing. A ring pad is unnecessary for a simple cut.
- Option C: Blunt abdominal injury is a closed wound without an external penetrating object. The focus is on assessing for internal bleeding and shock. A ring pad has no role in this context.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing First aid management for penetrating injuries with an impaled object helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- The primary rule for impaled objects is to stabilize them in place and never attempt to remove them in the field. Removal should only be done in a controlled surgical environment, as the object may be tamponading a major blood vessel.
- Nurses must be prepared to manage such injuries in emergency settings, prioritizing the stabilization of the object to prevent further harm and monitoring for signs of hemorrhagic shock (e.g., tachycardia, hypotension, pallor).
- What if? If the penetrating abdominal wound resulted in evisceration (protrusion of internal organs) instead of an impaled object, a ring pad would be incorrect. The correct management would be to cover the organs with a moist, sterile, non-adherent dressing and then an occlusive dressing to retain heat and moisture, without attempting to push the organs back in.
How to Approach the Question
- First, identify the key terms in the question: 'first aid' and 'ring pad'.
- Recall the purpose of a ring pad. Its unique shape is designed to encircle an object or a specific type of wound to relieve pressure.
- Evaluate each option based on this purpose.
- A superficial burn or laceration does not involve an impaled object and requires different care (cooling, direct pressure).
- A blunt injury is a closed wound, so a ring pad is not applicable.
- A penetrating wound, especially with an impaled object, perfectly matches the function of a ring pad, which is to stabilize the object without applying direct pressure. This makes it the correct choice.
Concept Tested & Keywords
- Concept Tested: First aid management for penetrating injuries with an impaled object.
- Stem keywords: first aid, ring pad, injury
- Lead-in keywords: which type
- Negative lead-in flag: false
Question ID
Qkvnd2QTmg1uW0DfILjnD5
Reference Book
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 39-41
E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 96-98
Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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