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kokokoal kokokoal
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A month ago
A patient, admitted after falling, is unconscious and has open fractures to both femurs. Initial assessment reveals diminished breath sounds bilaterally despite chest wall movements of breathing. What is the nurse's priority intervention?
1. Roll the patient to the left side.
2. Tilt the patient's head back to open the airway.
3. Do a blind finger sweep of the oral pharynx.
4. Perform a modified jaw thrust maneuver.
Textbook 

High-Acuity Nursing


Edition: 6th
Authors:
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iloveyofacexx3iloveyofacexx3
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Posts: 458
A month ago
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More questions for this book are available here
The answer is 4
Rationales:
1. The patient should not be moved until radiographic evidence of cervical spine status is obtained.
2. The head tilt maneuver may convert a spinal fracture without neurological manifestations into a fracture-dislocation with complex neurological effects.
3. Removal of an object that is occluding the airway may be necessary, but this is not the priority intervention.
4. The nurse should first attempt to open the airway without moving the neck. The modified jaw thrust maneuver is one method to achieve an open airway.
1

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kokokoal Author
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A month ago
I appreciate what you did here, answered it right Smiling Face with Open Mouth
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Yesterday
Helped a lot
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2 hours ago
this is exactly what I needed
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