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What is the priority nursing action for a patient experiencing shortness of breath?
Asked on Apr 27, 2026
Answer
In a patient experiencing shortness of breath, the priority nursing action is to ensure airway patency and assess the patient's respiratory status to determine the severity of the condition. This involves using tools like vital signs monitoring and pulse oximetry to evaluate oxygen saturation levels.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation (ABCs), and check oxygen saturation using pulse oximetry.
- Step 2 – Administer supplemental oxygen as needed, based on the assessment findings and facility protocols.
- Step 3 – Reassess the patient's respiratory status, document findings, and communicate with the healthcare team for further evaluation or intervention.
Additional Comment:
- Use the ABCs (Airway, Breathing, Circulation) framework to prioritize care.
- Ensure the patient is in a comfortable position to facilitate breathing, such as sitting upright.
- Monitor for any signs of respiratory distress or changes in condition.
- Communicate promptly with the healthcare provider if the patient's condition does not improve or worsens.
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