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Assignment:
An adult client uses a manual wheelchair for mobility secondary to the sequelae of Moyamoya disease. During an intervention session in the client's home, the client's fingers become tangled in the spokes of the wheelchair resulting in a deep laceration to the thumb. The cut is bleeding profusely. What IMMEDIATE action should the COTA take in this situation? Apply direct pressure to the wound with a clean cloth and elevate the affected hand above the level of the heart. Clean the wound with an antiseptic solution and use an elastic bandage with clips to secure sterile gauze to the affected area. Place a tourniquet around the midshaft of the humerus and monitor vital signs such as blood pressure and heart rate.
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