What immediate action should a nurse take when discovering a client is experiencing shortness of breath?

What immediate action should a nurse take when discovering a client is experiencing shortness of breath?

• A. Perform a quick physical assessment
• B. Reassure the client to stay calm
• C. Order an oxygen supply
• D. Check the client's vital signs

Answer: (A)

When a nurse discovers a client experiencing shortness of breath, performing a quick physical assessment is crucial because it helps to quickly determine the severity and potential cause of the respiratory distress. This assessment may include observing the client's respiratory rate, effort, use of accessory muscles, lung sounds, and overall appearance, as well as checking for any signs of distress or cyanosis. By quickly gathering this information, the nurse can prioritize interventions based on the client's needs and condition. For instance, if the assessment indicates severe respiratory compromise, the nurse can immediately initiate appropriate interventions such as administering oxygen or calling for additional help. The knowledge gained from the physical assessment serves as a foundation for making informed decisions about further care and treatment options. While reassuring the client and obtaining vital signs are important aspects of holistic care, and ordering an oxygen supply may be necessary, these actions should follow an assessment to properly guide the nurse's response. A thorough understanding of the client's condition is essential to provide effective and timely care.

When a nurse discovers a client experiencing shortness of breath, performing a quick physical assessment is crucial because it helps to quickly determine the severity and potential cause of the respiratory distress. This assessment may include observing the client's respiratory rate, effort, use of accessory muscles, lung sounds, and overall appearance, as well as checking for any signs of distress or cyanosis.

By quickly gathering this information, the nurse can prioritize interventions based on the client's needs and condition. For instance, if the assessment indicates severe respiratory compromise, the nurse can immediately initiate appropriate interventions such as administering oxygen or calling for additional help. The knowledge gained from the physical assessment serves as a foundation for making informed decisions about further care and treatment options.

While reassuring the client and obtaining vital signs are important aspects of holistic care, and ordering an oxygen supply may be necessary, these actions should follow an assessment to properly guide the nurse's response. A thorough understanding of the client's condition is essential to provide effective and timely care.