A client comes into the ER after hitting his head in an MVA. He’s alert and oriented. Which of the following nursing interventions should be done first?
Correct Answer: Immobilize the client’s head and neck
Description: All clients with a head injury are treated as if a cervical spine injury is present until x-rays confirm their absence. The airway doesn’t need to be opened since the client appears alert and not in respiratory distress.
Option A: ROM would be contraindicated at this time.
Option B: There is no indication that the client needs a chest x-ray.
Option D: In addition, the head-tilt-chin-lift manoeuvre wouldn’t be used until the cervical spine injury is ruled out.
Category:
Medicine
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