A patient with a head injury becomes drowsy and vomits repeatedly. Which nursing action has the highest priority?
Correct answer: B. Maintain the airway and protect against aspiration
- A. Keep the patient flat without head support
- B. Maintain the airway and protect against aspiration
- C. Give a large meal to prevent hypoglycaemia
- D. Encourage walking to assess coordination
Explanation
Reduced consciousness and vomiting create an immediate airway and aspiration risk. Airway protection comes before neurological testing or oral intake, while the cervical spine should also be kept aligned during care.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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