The client is a 38-year-old Army sergeant who has been admitted to the psychiatric unit with a diagnosis of PTSD. The client witnessed combat partner step on an explosive device that caused the combat partner's body to explode. The client tells the nurse that they have a headache and are going to stay in their room instead of going to the dining room for dinner. When the nurse later checks on the client, the nurse finds them hanging from a fixture in the bathroom. The nurse quickly determines that the client is not conscious. Prioritize each of the following nursing interventions from 1 to 5, with 1 being the highest priority.
___ 1. Begin cardiopulmonary resuscitation (CPR).
___ 2. Assess airway, breathing, and circulation.
___ 3. Notify the client's family.
___ 4. Cut down the client.
___ 5. Call for help.

Question

Quizplus · Accepted Answer

4.Cut down the client and ease them safely to the ground. This includes stabilizing the client's spine to prevent further injury.
2.Assess airway, breathing, and circulation.
5.Call for help. This includes asking another staff member to call 911.
1.Begin CPR. Ask CPR-certified staff to assist in resuscitation. Do not assume that it is too late to help the client.
3.Notify the client's family. The nurse must include telling the family to which hospital the client was taken.

The Client Is a 38-Year-Old Army Sergeant Who Has Been