On entering a patient's room, the nurse determines that the patient is unresponsive. Which should the nurse implement next?
a. Check the carotid or brachial pulse.
b. Activate the emergency response system.
c. Perform a jaw thrust to open the airway.
d. Deliver rescue breaths and start cardi-opulmonary resuscitation (CPR).
B
The patient's recovery depends on the restoration of breathing and perfusion; thus the nurse ac-tivates the emergency system and then begins chest compressions because patients have a better chance of recovery if defibrillation is initiated within 5 minutes. Rescue breaths are no longer used to begin CPR. The nurse restores the airway, begins chest compressions, and checks the pulse after activating the emergency system because the nurse wants the resuscitation team in attendance as soon as possible. A jaw thrust is a reasonable nursing intervention after activating the emergency alarm to restore the patient's airway without disturbing the spine.
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