An emergency room nurse cares for a client who has been shot in the abdomen and is hemorrhaging heavily. Which action should the nurse take first?
a. Send a blood sample for a type and crossmatch.
b. Insert a large intravenous line for fluid resuscitation.
c. Obtain the heart rate and blood pressure.
d. Assess and maintain a patent airway.
ANS: D
All of the options are important nursing actions in the care of a trauma client. However, airway always comes first. The client must have a patent airway, or other interventions will not be helpful.
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