<prompt> A client comes into the ER after hitting his head in an MVA. Hes alert and oriented. Which of the following nursing interventions should be done first?Assess full ROM to determine extent of injuriesCall for an immediate chest x-rayImmobilize the clients head and neckOpen the airway with the head-tilt-chin-lift maneuver  <response>: All clients with a head injury are treated as if a cervical spine injury is present until x-rays confirm their absence. The airway doesnt 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 wouldnt be used until the cervical spine injury is ruled out. 