What should the nurse do next after maintaining a patent airway in an unconscious head injury patient?

Sharpen your knowledge for the ADN Level 3 exam. Use flashcards and multiple-choice questions with hints and explanations to boost your confidence. Prepare to excel!

In the scenario involving an unconscious patient with a head injury, assessing the level of consciousness is a critical next step following the maintenance of a patent airway. This assessment is essential for determining the patient's neurological status and for identifying any changes or deterioration in the patient's condition.

Monitoring the level of consciousness helps the nurse evaluate cognitive function and responsiveness, which are vital indicators of potential brain injury progression. It assists in guiding further diagnostic and therapeutic interventions, as well as in making informed decisions about the patient's care.

While other considerations, such as administering intravenous fluids, protecting skin integrity, and preventing urinary incontinence, are also important aspects of patient care, they should follow after a thorough assessment of the patient’s neurological status. Prioritizing neurological assessment ensures that immediate and effective responses can be made to any changes in the patient's condition.

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