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What is the priority action for a nurse when a patient shows signs of respiratory distress?
Asked on May 06, 2026
Answer
When a patient shows signs of respiratory distress, the nurse's priority is to ensure airway patency and adequate oxygenation. This involves quickly assessing the patient's airway, breathing, and circulation (ABCs) to determine the immediate need for intervention.
Example Nursing Steps:
- Step 1 – Assess the patient's airway for patency and listen for abnormal breath sounds.
- Step 2 – Administer supplemental oxygen if needed and position the patient to optimize breathing (e.g., sitting up).
- Step 3 – Monitor vital signs, evaluate the patient's response to interventions, and document findings accurately.
Additional Comment:
- Respiratory distress can quickly become life-threatening, so rapid assessment and intervention are crucial.
- Use the ABCs (Airway, Breathing, Circulation) framework to prioritize care.
- Consider potential causes such as airway obstruction, asthma, or pulmonary edema.
- Communicate any changes in the patient's condition to the healthcare team promptly.
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