Which nursing assessment would have highest priority for early airway management of a trauma patient?

1. Ask the patient to state his name.
2. Assess increasing intracranial pressure (ICP) with facial fractures.
3. Prepare for emergency tracheostomy.
4. Perform a computerized tomography (CT) scan of tissues of the neck.


1
Rationale 1: If the patient can state his name audibly then the airway is patent.
Rationale 2: ICP monitoring might be needed but it is not the first priority of the nurse for airway issues.
Rationale 3: Emergency tracheostomy might be needed but it is still a second action only if needed.
Rationale 4: CT scanning might be needed but it is not the first priority of the nurse for airway issues.

Nursing

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