Free BCEN Certified Emergency Nurse (CEN) Practice Question

The immediate primary concern for a patient who has experienced a submersion injury is airway and breathing complications. Submersion in water can lead to a lack of oxygen getting to the lungs, which can cause hypoxemia and subsequent brain and organ damage. Swift action to secure and manage the airway and support breathing is critical in preventing further injury or death. Circulatory compromise, while important, is not the first assessment focus, and secondary complications such as infection or hypothermia are addressed after ensuring the patient's immediate respiratory needs are met.