A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)

A. Perform a Glasgow Coma Scale assessment: Disability assessment follows circulation in the ABCDE model. A GCS assessment helps determine neurologic status and identify any signs of altered consciousness or traumatic brain injury. B. Establish IV access: Next in the sequence is Circulation. Rapidly establishing intravenous access is vital for administering fluids and medications to stabilize hemodynamics and support perfusion in trauma settings. C. Open the airway using a jaw thrust maneuver: The primary survey follows the ABCDE approach, starting with Airway. Opening the airway using a jaw thrust is critical in trauma patients to maintain spinal precautions and ensure airway patency. D. Determine effectiveness of ventilatory effort: After ensuring an open airway, assess Breathing. Evaluating ventilatory effectiveness helps identify whether oxygenation and ventilation are adequate or if the patient needs support such as bag-valve-mask ventilation or intubation. E. Remove clothing for a thorough assessment: Exposure is the final step. Removing clothing allows the nurse to fully assess for hidden injuries, bleeding, deformities, or signs of trauma while also ensuring measures are taken to prevent hypothermia.