You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask, and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:

A. perform a comprehensive secondary assessment to determine why his clinical status has changed.
B. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a bag-mask device.
C. reassess his vital signs and then notify the receiving hospital of the change in his clinical status.
D. suction his oropharynx to ensure it is clear of secretions and then increase the oxygen flow rate to 15 L/min.

Answer: B. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a bag-mask device.

Health Professions

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