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The Triage Nurse in the ED Is Performing a Rapid

Question 39

Multiple Choice

The triage nurse in the ED is performing a rapid assessment of a man with complaints of severe chest pain and shortness of breath. The patient is diaphoretic, pale, and weak. When the patient collapses, what should the nurse do first?


A) Check for a carotid pulse.
B) Apply supplemental oxygen.
C) Give two full breaths.
D) Gently shake and shout, Are you OK?

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