Which of the following assessments is performed by the nurse in a primary survey for a client with injuries from a bomb blast?

In the context of a primary survey for a client with injuries from a bomb blast, the assessment of the airway is the most critical first step. This process, often referred to as the ABCs of emergency care (Airway, Breathing, Circulation), emphasizes the need to ensure that the airway is clear and unobstructed to provide oxygen to the patient. In the aftermath of a traumatic event such as a bomb blast, there may be significant risk for airway compromise due to swelling, blood, or debris.

Addressing the airway first allows the nurse to initiate life-saving interventions if necessary, as compromised airways can quickly lead to respiratory failure and, ultimately, death if not managed immediately. After the airway is secured, other assessments can be performed with a better chance of the patient surviving the immediate threats posed by the injuries sustained.

The other assessments listed, while important in the overall care and management of trauma patients, do not take precedence over immediate airway management. Assessing for deformities, evaluating coping mechanisms, or monitoring vital signs can be performed after ensuring the airway is patent. Ensuring the airway is maintained is fundamental to preventing further complications and ensuring that the patient can breathe adequately.