Question

a nurse in an ambulatory clinic is caring for a client who has facial trauma to the nose. which of the following actions should the nurse take first?

• determine the clients ability to take deep breaths.
• place a cold compress on the nasal area.
• palpate the nasal area for crepitation.
• offer the client an analgesic medication.

Explanation:

In nursing, the primary concern for any trauma (including facial/nasal trauma) is assessing the client's airway, breathing, and circulation (ABCs) first. Determining the client's ability to take deep breaths assesses their respiratory function (part of ABCs), which is a priority over interventions like applying cold compresses, palpating for crepitation, or giving analgesics.

Answer:

A. Determine the client's ability to take deep breaths.