You are working in the ED and receive a patient with a scalp laceration. What do you anticipate will be part of your care with this patient?
Explanation & Rationale
A. They will likely need ICP monitoring is incorrect because a simple scalp laceration does not typically cause increased intracranial pressure. ICP monitoring is reserved for patients with suspected or confirmed brain injury, not isolated scalp injuries. B. They will need continuous blood pressure and oxygen saturation monitoring is incorrect because while vital signs are routinely monitored in the ED, continuous cardiac and oxygen monitoring is not generally required for a minor scalp laceration unless there are signs of hemodynamic instability or other injuries. C. Holding pressure on the laceration because profuse bleeding can occur is correct. The scalp is highly vascular, and even a relatively small laceration can lead to significant blood loss. Immediate nursing care focuses on applying direct pressure, controlling bleeding, and preparing for wound closure (sutures, staples, or adhesive strips). Proper hemorrhage control is essential to prevent hypovolemia and shock. D. You will need to make sure they have warm blankets to prevent temperature from decreasing is incorrect because hypothermia prevention is not a primary concern for a patient with an isolated scalp laceration. While warming measures may be used in trauma patients with extensive blood loss or environmental exposure, it is not the main priority in this scenario.