The nurse is caring for a person who was admitted following a fight. The person had several direct blows to the face. The assessment reveals normal blood pressure (BP), elevated pulse (P-108), elevated respiratory rate (RR-24)and obvious deformity to the right side of the face. What is the most important priority for the person's care?

Question

Quizplus · Accepted Answer

The most important priority for the person's care is to monitor the elevated respiratory rate and maintain the airway. The elevated respiratory rate indicates that the person may be experiencing difficulty breathing, which could lead to respiratory distress or failure. As such, ensuring that the airway is unobstructed and that the person is able to breathe easily should be the primary concern. The other options are important as well, but are not as critical as maintaining a clear airway.

The Nurse Is Caring for a Person Who Was Admitted