Final answer:
Before inflating a tourniquet, exsanguination should be carried out to minimize bleeding during surgery, often in combination with lowering the extremity.
Step-by-step explanation:
Prior to the inflation of a tourniquet, exsanguination of the limb should occur, which means answer (c) is correct. This process is carried out to remove as much blood as possible from the limb to minimize bleeding during surgical procedures. It is often combined with lowering the extremity to allow gravity to assist in the exsanguination process; therefore, both (b) lowering the extremity and (c) exsanguination can happen before the tourniquet is inflated, suggesting that answer (d) B and C, would also be acceptable as an accurate response to the question.