Trauma Nurse Core Course (TNCC) Practice Exam

For a 36-year-old female with a wrist deformity after a fall, what is the most appropriate intervention?

1. Apply a sling and elevate the extremity to the level of the heart

2. Apply a splint and elevate above the level of the heart

3. Apply a sling and elevate the extremity above the level of the heart

4. Apply a splint and elevate the extremity to the level of the heart

The correct answer is: Apply a splint and elevate above the level of the heart

Applying a splint and elevating the extremity above the level of the heart is the most appropriate intervention in the case of a wrist deformity after a fall. This approach serves several critical purposes. Firstly, splinting provides stabilization to the injured area, preventing further movement that could exacerbate any potential fractures or soft tissue injuries. This is essential for minimizing pain and preventing complications. Secondly, elevating the extremity above the level of the heart helps reduce swelling by promoting venous return and lymphatic drainage. Swelling is a common response following an injury, and controlling it early can aid in pain management and recovery. This combination of immobilization and elevation is a key principle in managing acute musculoskeletal injuries, particularly in trauma nursing, as it addresses both immediate care needs and helps set the stage for further evaluation and treatment as necessary.