A patient with acute left ventricular failure is severely breathless, coughing pink frothy sputum and has widespread crackles. Which nursing action should be taken first?
Correct answer: B. Sit the patient upright and administer prescribed oxygen
- A. Place the patient flat and assess bowel sounds
- B. Sit the patient upright and administer prescribed oxygen
- C. Encourage oral fluids to loosen respiratory secretions
- D. Apply warm blankets and reduce environmental stimulation
Explanation
Upright positioning improves lung expansion and reduces venous return, while oxygen treats the immediate breathing problem. Lying the patient flat can worsen pulmonary congestion, and oral fluids do not correct acute pulmonary oedema.
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About Critical Care and Emergency Nursing
Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.
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