A client comes into the ER after hitting his head in an MVA. He’s alert and oriented. Which of the following nursing interventions should be done first?

All clients with a head injury are treated as if a cervical spine injury is present until x-rays confirm their absence. The airway doesn’t need to be opened since the client appears alert and not in respiratory distress. Option A: ROM would be contraindicated at this time. Option B: There is no indication that the client needs a chest x-ray. Option D: In addition, the head-tilt-chin-lift manoeuvre wouldn’t be used until the cervical spine injury is ruled out.