The Nurse Is Caring for a Patient Admitted to the Emergency

The nurse is caring for a patient admitted to the emergency department following a fall from a 10-foot ladder.Upon admission,the nurse assesses the patient to be awake,alert,and moving all four extremities.The nurse also notes bruising behind the left ear and straw-colored drainage from the left naris.What is the most appropriate nursing action?

A) Insert bilateral ear plugs.
B) Monitor airway patency.
C) Maintain neutral head position.
D) Apply a small nasal drip pad.