The nurse is the first responder to a motor vehicular accident involving the injury of a 40-year-old male. Which action is the highest priority?

Maintain the victim’s neck in neutral position. The priority intervention for a victim of a motor vehicular accident is to maintain a neutral neck position to prevent spinal cord injury or to ensure that further injury does not occur. Then, the nurse prioritizes interventions and assessments using the first aid principle, Airway-Breathing-Circulation (ABC). The next highest priority is to maintain a patent airway by performing the jaw thrust maneuver. The nurse then assesses the patient for a pulse and capillary refill time to assess for circulation. Lastly, the nurse elevates the patient’s legs to assist with venous return.

The nurse is the first responder to a motor vehicular accident in...

Category: Management of Care
Difficulty: 6

Topics: Delegation, Prioritization and Leadership Musculoskeletal Neurology Respiratory Assessment Cardiovascular Crisis Management Disease Prevention Health Promotion HEENT Intracranial Regulation

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