The nurse is caring for a client with an open wound on the right thigh that is bleeding profusely. Which of the following actions should the nurse take first?

A. Cleanse the wound with hydrogen peroxide is incorrect because controlling active bleeding takes priority over wound cleansing. In a profusely bleeding wound, the immediate concern is hemorrhage control, not disinfection. B. Apply direct pressure over the femoral artery is correct because when bleeding is profuse from a thigh wound, the priority is to control hemorrhage. Applying firm, direct pressure—especially over a major artery such as the femoral artery—helps reduce blood flow to the area and prevent excessive blood loss. According to emergency care principles (ABCs and circulation), controlling life-threatening bleeding is the first action. C. Prepare suturing equipment to close the wound is incorrect because suturing is performed only after bleeding is controlled. Attempting closure before stabilizing the client could worsen blood loss. D. Use heavy gauze pads to cover the wound is incorrect as the first action because simply covering the wound without applying firm pressure will not effectively control profuse bleeding. Gauze may be used, but only in conjunction with direct pressure.