When a patient collapses in the emergency department, what is the first action a nurse should take?

Prepare for the Emergency Triage Exam. Sharpen your skills with flashcards and multiple choice questions, each crafted with hints and explanations. Arm yourself with the knowledge needed to pass with confidence!

In the context of an emergency situation where a patient collapses, the initial priority is to assess the patient's consciousness and responsiveness. Gently shaking the victim and asking for their name helps to determine if the patient is conscious and aware. This simple yet vital step gives the healthcare provider immediate insight into the patient's condition and whether they need further immediate intervention.

If the patient is unresponsive to verbal cues, it indicates that the nurse must move quickly to more critical steps like ensuring the airway is open and checking for breathing. Performing a chin-tilt maneuver, feeling for air movement, or watching the chest for respirations are actions that would follow if the patient does not respond to initial stimuli. However, confirming unresponsiveness through a gentle shake is essential before progressing to airway management and other assessments.

The correct approach reflects the prioritization of patient responsiveness in a triage situation, ensuring that immediate needs are addressed promptly.

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