Which statement is true regarding management of altered neurologic function?

• A. All of the above
• B. Ensure patent airway
• C. Spinal motion restriction PRN
• D. Do not allow patient to walk

Answer: (A)

The management of altered neurologic function centers on protecting the airway, preventing spinal injury from worsening, and minimizing risk from movement. Ensuring a patent airway is essential because these patients can deteriorate quickly if the airway is compromised or respiration is inadequate, so provide oxygen as needed and be prepared to assist or secure the airway. Spinal motion restriction is applied PRN because altered mental status makes it hard to rule out a spinal injury, and a suspected mechanism or signs of trauma warrant immobilization to prevent further injury. Not allowing the patient to walk helps prevent falls, worsening injury, or aspiration in a confused or weak patient during transport. Taken together, these steps reflect prudent, comprehensive care, so all of the above statements are true.