A gunshot wound victim is "dumped" in the parking lot of the emergency department (ED). What is the nurse's priority action?
1. Notify security.
2. Initiate airway management with cervical spine immobilization.
3. Assess the patient's level of consciousness.
4. Get a stretcher to bring the patient into the ED.
2
Rationale 1: The nurse should notify security, but this is not the priority action.
Rationale 2: In every situation assessment of the airway is the priority.
Rationale 3: Level of consciousness is important, but this assessment is not the immediate priority.
Rationale 4: The nurse should take another, more immediate action prior to transporting the patient into the ED.
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