After surgery for a fractured mandible, what is the nurse's priority action concerning the client?

Following surgery for a fractured mandible, preventing aspiration is a critical priority due to several factors related to the client's condition. First, patients who have undergone mandibular surgery may have compromised airway or difficulty swallowing. They might also be at increased risk for aspiration if they have altered consciousness or are unable to clear secretions effectively, particularly if they have been intubated or sedated during surgery.

Aspiration can lead to serious complications, such as pneumonia, which can significantly impact recovery and overall health. Therefore, the nurse must closely monitor the client's airway and respiratory status, ensuring that the client is positioned correctly (often in a semi-Fowler's position) and that any suctioning or airway management is timely and effective.

While ensuring adequate nutrition, promoting oral hygiene, and relieving pain are all important aspects of post-operative care, they do not take precedence over the immediate risk of aspiration. Once the client's airway is secure and the risk of aspiration has been addressed, the nurse can then focus on the other aspects of care to promote healing and recovery.