Moderate

A patient is recovering from a myocardial infarction and suddenly develops severe breathlessness, pink frothy sputum and widespread crackles. Which action should the nurse take first?

Correct answer: A. Place the patient in a high-Fowler position

  • A. Place the patient in a high-Fowler position
  • B. Offer oral fluids to loosen secretions
  • C. Place the patient flat with the legs elevated
  • D. Encourage coughing while lying supine

Explanation

These findings indicate acute pulmonary oedema from left ventricular failure. Sitting the patient upright improves lung expansion and reduces venous return, helping breathing while urgent assistance and prescribed treatment are arranged.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Cardiovascular Nursing

Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.

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