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in which order would the nurse perform initial assessments to manage immediate threats in the client who was admitted to an emergency unit with a critical injury from a bomb blast?

Sagot :

Positioning, suctioning, and oxygen administration as necessary to create a patent airway and evaluating the sound and difficulty of breathing.

Establishing a patent airway is the most important intervention for any injured client who survived a bomb blast. By positioning, suctioning, and providing oxygen as needed, a patent airway is created. The next step is to listen for oxygen breathing sounds and respiratory exertion to determine ventilation once the patent airway has been created. After ensuring efficient ventilation, circulation becomes more important. By keeping an eye on key indicators like blood pressure and heart rate, circulation is evaluated. The next step is to use the GCS to determine the client's degree of awareness after measuring circulation. The removal of all clothing to allow for a full physical evaluation is the last step in the assessment process.

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