The nurse is admitting a client with a head injury after a motor vehicle accident who has shortness of breath and severe eye pain. Which of the following actions should the nurse take first?
A)Elevate the head to 45 degrees.
B)Administer the ordered analgesic.
C)Check the client's oxygen saturation.
D)Examine the eye for evidence of trauma.

Question

Quizplus · Accepted Answer

The priority action for a client after a head injury is to assess and maintain airway and breathing. Because the client is complaining of shortness of breath, it is essential that the nurse assess the oxygen saturation. The other actions also are appropriate but are not the first action the nurse will take.

The Nurse Is Admitting a Client with a Head Injury