A patient has a pencil impaled in her cheek. What action should the EMR take first?

In the scenario where a patient has a pencil impaled in her cheek, the most critical first action for the EMR is to prepare for suctioning as needed. This choice is correct because an impaled object can obstruct the airway or cause bleeding, which may lead to aspiration if the patient starts to bleed or vomit. Ensuring that suction is ready allows the EMR to quickly manage any potential airway complications, ensuring the patient's ability to breathe remains intact.

The presence of the object complicates the situation and could lead to further bleeding or airway blockage; hence, prioritizing airway management is essential. Ensuring suction is available allows for rapid response to any emergent airway issues that may arise due to the injury.

Other actions, such as pulling out the pencil or cleaning the area, would be inappropriate at this stage because they could exacerbate the injury or cause additional bleeding. Covering the wound with a sterile dressing would also be crucial, but only after securing the airway and ensuring that the patient is stable. Thus, preparing to suction as needed emphasizes the importance of airway management in this scenario.