Final answer:
A nurse should start by checking responsiveness and breathing, proceed with CPR if necessary, and then use an AED if available.
Step-by-step explanation:
When a nurse encounters an unconscious adult who may be having a heart attack, and after ensuring emergency medical services (EMS) have been called, the nurse's first action should be to check the person's responsiveness and breathing. If the individual is not breathing or only gasping, the nurse should begin CPR (cardiopulmonary resuscitation). This is critical as CPR helps circulate blood that contains oxygen to the vital organs. After performing CPR, if an automated external defibrillator (AED) is available, it should be used as soon as possible. The AED is a portable device that can analyze the heart's rhythm and, if necessary, deliver an electrical shock, or defibrillation, to help the heart re-establish an effective rhythm.