In assessing a client with a closed head injury, which action should a nurse take first?

In the scenario of assessing a client with a closed head injury, maintaining a patent airway is paramount. This action is critical because a compromised airway can lead to hypoxia, which can exacerbate brain injury and negatively impact overall recovery. Given that brain function is heavily reliant on adequate oxygenation, ensuring the airway is clear allows for proper ventilation and oxygen delivery.

When dealing with head injuries, there is a risk of altered levels of consciousness, respiratory depression, or even loss of protective reflexes. Therefore, verifying that the airway is patent should be the nurse’s first priority. Once the airway is secure, the nurse can proceed to other assessments and interventions, such as evaluating the level of consciousness or administering fluids as needed. Protecting skin integrity is also important, but it is not an immediate priority compared to ensuring that the airway is functioning properly.