The AGACNP is present when a frail 95-year-old female arrives in the ED as a direct transfer from a nursing home after a fall and a brief loss of consciousness. The patient presents with a Glasgow Coma Scale (GCS) of 6 and sonorous respirations. Patient is on 5L of O2 via nasal cannula. BP 90/40 HR 90 The AGACNP should FIRST?
1) intubate the patient and place on a ventilator
2) order STAT CT scan of the brain
3) ask EMS about an advance directive
4) apply BiPAP and start resuscitation