Which of the following is NOT a first-aid measure for haemorrhage?

Appeared in: NHM UP Staff Nurse-2023 Shift-2nd

Explanation

In cases of penetrating trauma, an embedded foreign object should never be removed in a pre-hospital setting.
The object itself may be providing tamponade (pressure) on injured blood vessels, and its removal can lead to catastrophic, uncontrollable bleeding.
The correct procedure is to stabilize the object in place with bulky dressings and transport the patient for definitive surgical management.

Option B: This is a correct and recommended first-aid measure for hemorrhage.
Option C: This is the most critical and primary first-aid intervention for controlling external hemorrhage.
Option D: This is a correct and important supportive measure in first aid for hemorrhage.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain First-aid management of hemorrhage as background academic context rather than a clinical decision trigger.
The primary principle in managing embedded objects is 'do no harm.' A nurse's role is to stabilize the patient and the object, control external bleeding around the object, and prepare for immediate transport to a surgical facility.
Nurses must monitor for signs of hypovolemic shock (tachycardia, hypotension, cool/clammy skin, delayed capillary refill) which can occur even if external bleeding seems controlled, as the object may be causing internal hemorrhage.
What if the object is small, like a splinter? If the object is small, superficial, and bleeding is minimal, it may be removed. However, the question implies a significant wound with hemorrhage, where any embedded object should be suspected of involving deeper structures.

How to Approach the Question

First, identify the negative framing of the question with the keyword 'NOT'. This means you are looking for the option that is an incorrect or contraindicated action.
Evaluate each option based on standard first-aid principles for hemorrhage.
Option A: Consider the effect of removing an object that has penetrated tissue. It could be plugging a vessel. Removing it is risky.
Options B, C, and D: Recall the standard 'RICE' (Rest, Ice, Compression, Elevation) and direct pressure principles. Raising the limb (Elevation), applying pressure (Compression), and keeping the patient still (Rest) are all standard, correct actions.
Conclude that removing the foreign body is the action that should NOT be performed, making it the correct answer to the 'NOT' question.

Concept Tested & Keywords

Concept Tested: First-aid management of hemorrhage
Stem keywords: haemorrhage, first-aid measure
Lead-in keywords: NOT
Negative lead-in flag: The question asks for the action that is NOT a correct first-aid measure.

Qu0S3fkRT5aUQuQTyt7hSp

E6 Nursing Brunner Adult Health 3SA Vol 2 Part 3 p. 117-119

Practise the full NHM UP Staff Nurse-2023 Shift-2nd

Attempt every question from this paper in a timed mock, then review the full solution for each one.