Final answer:
The general assessment and treatment guidelines for a large avulsion injury exclude 'return to normal activity immediately' and include elevating the limb, applying pressure to control bleeding, and cleaning the wound to prevent infection. Subsequent physical therapy is important for recovery.
Step-by-step explanation:
General assessment and treatment guidelines for a patient with a large avulsion injury include various steps to properly manage the wound and support healing. However, among the given options, the one that is not recommended is 'return to normal activity immediately'. Instead, after an avulsion injury, it is essential to elevate the injured limb to reduce swelling, apply direct pressure to control bleeding, and clean the wound with soap and water to prevent infection. Returning to normal activity immediately after such an injury could result in further damage and delay healing. Watching for increased redness, swelling, and pain after the wound has been cleaned and bandaged is crucial as these can be signs of infection or further complications. Following wound care, an appropriate physical therapy plan may include applying a heat pack, performing exercises, and using ice to manage swelling, all under the guidance of a physical therapist to ensure gradual and secure return to normal limb function.