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What is the priority nursing action for a patient experiencing shortness of breath?
Asked on Mar 01, 2026
Answer
When a patient experiences shortness of breath, the priority nursing 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 vital signs, observing respiratory effort, and providing supplemental oxygen if necessary.
Example Nursing Steps:
- Step 1 – Assess the patient's airway patency and respiratory rate, rhythm, and effort.
- Step 2 – Administer supplemental oxygen and position the patient to optimize breathing (e.g., sitting upright).
- Step 3 – Monitor the patient's response to interventions, reassess vital signs, and document findings and actions taken.
Additional Comment:
- Always prioritize airway and breathing in acute situations (ABCs).
- Consider potential causes such as asthma, COPD, or pulmonary embolism.
- Communicate with the healthcare team if the patient's condition does not improve.
- Document all assessments, interventions, and patient responses promptly.
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