An emergency department (ED) nurse receives a report that an incoming patient has a Glasgow Coma Scale (GCS) score of 8. Which is the most appropriate action by the nurse?

Question

Quizplus · Accepted Answer

A GCS score of 8 indicates a severe impairment of consciousness, so the first priority of the nurse should be to ensure the patient's airway, breathing, and circulation are stable. Once these vital signs have been assessed and treated as necessary, the nurse can move on to other priorities such as pain management and obtaining a history. Triage should not be the nurse's initial priority.

An Emergency Department (ED) Nurse Receives a Report That an Incoming