A nurse assisting in a birth observes the patient suddenly fall back against the bed and become unresponsive. What action by the nurse takes priority?
A.
Assess airway, breathing, and circulation.
B.
Begin immediate cardiopulmonary resuscitation.
C.
Insert an indwelling urinary catheter.
D.
Prepare for an emergency cesarean delivery.
ANS: A
In any emergency situation, such as an unresponsive patient, the nurse needs to assess airway, breathing, and circulation and begin providing CPR if needed. The patient may or may not need an emergency cesarean delivery. Inserting a urinary catheter is not the priority.
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