A 22-year-old male arrives at the ED following a motor vehicle collision. He is not awake and is being bagged with a bag-valve-mask by paramedics
He has sustained obvious injuries to his head and face as well as an open right femur fracture that is bleeding profusely. What should the nurse's initial intervention be? A. Splint the right lower extremity to decrease blood loss.
B. Apply direct pressure to the open area on the right leg.
C. Assess for a patent airway.
D. Start two large-bore intravenous lines.
C
The highest priority intervention in the primary survey is to establish a patent airway. Without an adequate airway to supply oxygen to the cells, a cerebral injury could progress to anoxic brain death. After an airway is established, the resuscitation may continue to B for breathing and C for circulation assessment.
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