Ati med surg final proctored exam
A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority?
Explanation & Rationale
A. The highest priority for an unconscious client is maintaining a patent airway. Suctioning secretions helps prevent aspiration and respiratory compromise. B. This is important for preventing contractures, but it is not the immediate life-saving priority. C. Monitoring fluid balance is important but does not take precedence over airway management. D. While electrolytes are important in neurological clients, airway patency must always be addressed first.
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