A patient is admitted with a fractured mandible and several fractured ribs. Which of the following would be indicated for this patient?
1. treat the fractures and transfer to an orthopedic unit
2. maintain on spinal cord injury precautions until ruled out
3. provide pain medication and tape the ribs immediately
4. obtain a chest x-ray to determine lung function
2
Rationale: Since a spinal cord injury should be suspected in a patient with maxillofacial injury and clavicle or upper rib fractures, the patient should be maintained on spinal cord injury precautions until the injury has been ruled out. The patient should not be simply treated and transferred to an orthopedic unit. Although pain control and lung function are important, the priority at this time is to maintain the patient on spinal cord injury precautions until the injury has been ruled out.
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