A patient with facial trauma has blood pooling in the mouth, gurgling respirations and decreasing consciousness. Which intervention is most appropriate initially?
Correct answer: A. Suction the mouth while maintaining cervical alignment
- A. Suction the mouth while maintaining cervical alignment
- B. Give oral fluids to clear the blood from the mouth
- C. Place the patient in a sitting position without support
- D. Insert a nasogastric tube before clearing the airway
Explanation
Gurgling indicates fluid obstructing the airway, so suction is needed while spinal precautions are maintained because facial trauma may include cervical injury. Oral fluids, unsupported positioning and nasogastric insertion are unsafe before the airway is cleared.
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About Critical Care and Emergency Nursing
Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.
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