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Which assessment finding indicates a patient is at immediate risk for airway compromise?
Asked on Oct 18, 2025
Answer
In nursing practice, recognizing signs of airway compromise is crucial for patient safety. Immediate risk for airway compromise is indicated by findings such as stridor, use of accessory muscles for breathing, or a sudden change in consciousness level related to hypoxia.
Example Concept: Stridor is a high-pitched, wheezing sound caused by disrupted airflow, often indicating obstruction in the upper airway. This is a critical finding as it suggests that the airway may be compromised, requiring immediate assessment and intervention to ensure adequate oxygenation and prevent respiratory failure.
Additional Comment:
- Assess the patient's airway, breathing, and circulation (ABCs) immediately.
- Stridor is an unexpected and urgent finding that requires rapid response.
- Consider potential causes such as anaphylaxis, foreign body obstruction, or severe asthma.
- Prepare for interventions such as oxygen administration or advanced airway management.
- Document findings and actions taken promptly and accurately.
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