Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 45-year-old construction worker presents to the emergency department after his hand got caught and pulled by a rotating machine, resulting in a severe degloving injury. The skin and soft tissues are extensively peeled back from the underlying muscles. In managing this wound, what is the most appropriate initial intervention?

  • Clean the wound aggressively with iodine and cover with a dry bandage.

  • Immediately suture the degloved skin back to its original position.

  • Apply a tourniquet above the site of the injury to minimize blood loss.

  • Cover the injury with a clean, moist sterile dressing and elevate the extremity.

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Musculoskeletal and Wound Emergencies
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