During transport preparation, a patient with a serious injury becomes less responsive and begins breathing abnormally. What should the nurse do first?

Correct answer: B. Reassess breathing and circulation and activate emergency support

  • A. Continue preparing the stretcher before reassessing
  • B. Reassess breathing and circulation and activate emergency support
  • C. Give oral fluids to improve alertness
  • D. Apply a splint before checking the airway

Explanation

A sudden change in consciousness with abnormal breathing suggests deterioration and possible cardiac arrest. Airway and breathing must be reassessed immediately, with emergency support activated and CPR started if indicated. Splinting and transport preparation are secondary to life-threatening problems.

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About First Aid and Basic Life Support

First aid covers scene safety, primary survey, bleeding control, shock, burns, fractures, choking, poisoning and emergency transport. Basic life support includes recognition of cardiac arrest, activation of emergency help, chest compressions, rescue breaths, automated external defibrillator use and the difference between adult, child and infant procedures.

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