A child with a history of seizures arrives in the Emergency Department in status epilepticus. The nurse's initial response is to:
1. Take vital signs.
2. Maintain patent airway.
3. Establish an intravenous line.
4. Perform rapid neurological assessment.
2
Rationale:
1. Taking vital signs is important, but airway always comes first.
2. Airway is always the priority of care.
3. Once the airway is secure, then securing an IV is vital.
4. A rapid neurological assessment is appropriate once the airway is secure.
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True False