A client with multiple rib fractures has paradoxical chest movement and severe pain. Which action is the priority?

Question

Accepted Answer

A. Apply oxygen and support ventilation as needed — Flail chest can impair ventilation. Priority care is to support oxygenation and ventilation, then manage pain. Tight circumferential chest binding is avoided because it restricts breathing.

Answer

B. Bind the chest tightly with elastic wraps

Answer

C. Place the client flat to reduce movement

Answer

D. Encourage vigorous coughing every 5 minutes