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NCLEX-RN · Question #47

A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:

The correct answer is B. Airway assessment and stabilization. (A) If cervical spine injury is suspected, the airway should be maintained using the jaw thrust method that also protects the cervical spine. (B) Primary intervention is protection of the airway and adequate ventilation. (C, D) All other interventions are secondary to adequate…

Safe and Effective Care Environment: Management of Care

Question

A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:

Options

  • AStabilization of the cervical spine
  • BAirway assessment and stabilization
  • CConfirmation of spinal cord injury
  • DNormalization of intravascular volume

How the community answered

(21 responses)
  • A
    10% (2)
  • B
    81% (17)
  • C
    5% (1)
  • D
    5% (1)

Explanation

(A) If cervical spine injury is suspected, the airway should be maintained using the jaw thrust method that also protects the cervical spine. (B) Primary intervention is protection of the airway and adequate ventilation. (C, D) All other interventions are secondary to adequate ventilation.

Topics

#cervical spine fracture#airway management#nursing priority#C3-4 injury

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