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During the primary assessment of a trauma victim, the nurse determines that the patient has a patent airway. the next assessment by the nurse should be to

Sagot :

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QUESTION

During the primary assessment of a trauma victim, the nurse determines that the patient has a patent airway. The next assessment by the nurse should be to?

ANSWER

After assessing the airway for any obstruction, the nurse's next step should be to evaluate the patient's breathing effort. In most trauma cases, a patent airway doesn't mean the victim has enough ventilation. Checking for their breathing/respiratory pattern will help to detect if the body experienced more severe damage like pneumothorax (a condition where nag collapsed na 'yung lungs and abnormal na nakapasok ang hangin sa mga spaces and chest wall ng baga.)

Please remember the mnemonic ABC assessment for emergency trauma cases.

  • A - Airway (Assessing airway for patency)
  • B - Breathing (observing the rising and falling of the chest. Assess the respiratory rate to check for the need for ventilation.)
  • C - Circulation - Check the pulse to see if the heart is pumping enough blood to circulate into the body: Monitor blood pressure, heart rate, and cardiac rhythm.

I hope it helps!

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