Trauma Nurse Core Course (TNCC) Practice Exam

The initial management for an airway obstruction is to establish and maintain an open airway. This is crucial because an obstructed airway can rapidly lead to hypoxia and can be life-threatening. The primary focus in any situation involving potential airway compromise is to ensure that the airway is clear and that the patient can breathe effectively.

In cases of an airway obstruction, the first immediate action is often to assess the patient’s responsiveness and the presence of breathing. If an obstruction is suspected, maneuvers like the Heimlich maneuver or back blows may be necessary to remove the obstruction, depending on the severity. This priority on airway management underscores the life-sustaining function of a clear airway and the urgency of the situation, as failure to address airway issues promptly can result in permanent harm or death.

While supplemental oxygen, calling for emergency assistance, and performing chest compressions can be essential components of a comprehensive emergency response, these actions would not resolve the immediate danger posed by an airway obstruction. Without airway clearance, supplemental oxygen won't reach the lungs, and chest compressions would be ineffective if the airway cannot be maintained. Thus, establishing and maintaining an open airway is the foundational first step in addressing airway obstructions.