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What is the priority nursing intervention for a patient with shortness of breath?
Asked on Mar 10, 2026
Answer
In patients presenting with shortness of breath, the priority nursing intervention is to ensure adequate oxygenation and airway patency. This involves quickly assessing the patient's respiratory status and applying appropriate interventions to improve breathing.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation (ABCs) to determine the severity of the shortness of breath.
- Step 2 – Administer supplemental oxygen as prescribed and position the patient in a semi-Fowler's or high-Fowler's position to facilitate easier breathing.
- Step 3 – Monitor the patient's vital signs, including oxygen saturation, and document the interventions and patient's response.
Additional Comment:
- Assess for additional symptoms such as cyanosis, use of accessory muscles, or altered mental status.
- Consider potential causes like asthma, COPD, heart failure, or pulmonary embolism.
- Use the ABCs (Airway, Breathing, Circulation) framework to prioritize interventions.
- Communicate with the healthcare provider if the patient's condition does not improve or worsens.
- Ensure all equipment, such as oxygen delivery devices, is functioning correctly.
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