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What is the priority action for a nurse when a patient reports shortness of breath?
Asked on Apr 20, 2026
Answer
When a patient reports shortness of breath, the nurse's priority action is to assess the patient's airway, breathing, and circulation (ABCs) to ensure adequate oxygenation and identify any immediate interventions needed. This involves checking the patient's respiratory rate, oxygen saturation, and auscultating lung sounds.
Example Nursing Steps:
- Step 1 – Assess the patient's airway for patency and breathing effectiveness, including respiratory rate and oxygen saturation.
- Step 2 – Administer supplemental oxygen if needed and position the patient to maximize lung expansion, such as sitting upright.
- Step 3 – Monitor the patient's response to interventions, document findings, and notify the healthcare provider if the condition does not improve.
Additional Comment:
- Always prioritize airway and breathing in acute situations (ABCs).
- Use expected vs unexpected findings to guide further assessment.
- Consider potential causes such as asthma, COPD, or pulmonary embolism.
- Ensure timely communication with the healthcare team for unresolved symptoms.
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