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An Intoxicated Client Not Wearing a Seatbelt Drives into a Metal

Question 22

Multiple Choice

An intoxicated client not wearing a seatbelt drives into a metal barricade near the entrance to the emergency department.  The client's head has hit the windshield, and the client is unconscious.  What nurse actions are appropriate?  Select all that apply.


A) Assess the client for a carotid pulse
B) Determine the client's Glasgow Coma Scale score
C) Maintain airway with head-tilt/chin-lift maneuver
D) Place a hard cervical collar on the client
E) Remove the client from the car onto a backboard

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