This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': '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? \nSelect and explain. \nA. Assess full ROM to determine extent of injuries, B. Call for an immediate chest x-ray, C. Immobilize the client’s head and neck, D. Open the airway with the head-tilt-chin-lift maneuver', 'role': 'user'}, {'content': 'Answer: C \nExplanation: All clients with a head injury are treated as if a cervical spine injury is present until x-rays confirm their absence.\xa0The airway doesn’t need to be opened since the client appears alert and not in respiratory distress.\n\nOption A: ROM would be contraindicated at this time.\nOption B: There is no indication that the client needs a chest x-ray.\nOption D: In addition, the head-tilt-chin-lift manoeuvre wouldn’t be used until the cervical spine injury is ruled out.', 'role': 'assistant'}]