Final answer:
According to the American Red Cross guidelines, if an unconscious adult who has a pulse is pulled from the water during the primary assessment, the next step is to give 2 initial ventilations.
Step-by-step explanation:
According to the American Red Cross guidelines, if you pull an unconscious adult from the water who is taking infrequent gasps and has a pulse during the primary assessment, the next step is to give 2 initial ventilations. This involves providing two rescue breaths to the victim's lungs by tilting their head back, lifting their chin, and sealing your mouth over their mouth and nose to create an airtight seal.