The nurse observes a person collapse and stop breathing. The nurse would establish an airway by:
a. inserting an endotracheal tube.
b. inserting a finger to pull the tongue forward.
c. using the head tilt–chin lift maneuver.
d. using a modified jaw-thrust maneuver.
C
The nurse would establish an airway by tilting the head back and lifting the chin. An endotracheal tube should not be inserted by the nurse. It is not necessary to put tension on the tongue because proper head tilt with chin thrust will remove the tongue from obstructing the airway. A modified jaw thrust would be used if a neck injury was suspected, but because this patient collapsed in front of the nurse, that would not be a concern in this scenario.
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