The priority nursing intervention when a child is unconscious after a fall is to:
a. Establish an adequate airway.
b. Perform neurologic assessment.
c. Monitor intercranial pressure.
d. Determine whether a neck injury is present.
ANS: A
Respiratory effectiveness is the primary concern in the care of the unconscious child. Establishing an adequate airway is always the first priority. A neurologic assessment and determination of neck injury are performed after breathing and circulation are stabilized. Intracranial, not intercranial, pressure is monitored if indicated after airway, breathing, and circulation are maintained.
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