A patient with pneumonia is receiving antibiotics and develops a respiratory rate of 8 per minute, shallow breaths and increasing drowsiness. Which action should the nurse take first?
Correct answer: A. Assess airway and breathing, then call for urgent help
- A. Assess airway and breathing, then call for urgent help
- B. Offer oral fluids to loosen respiratory secretions
- C. Encourage coughing and deep breathing exercises
- D. Place the patient in a supine position for comfort
Explanation
Bradypnea, shallow breathing and drowsiness indicate possible respiratory failure, so airway and breathing take priority under the ABC approach. Oral fluids and exercises must wait until ventilation and safety have been assessed.
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About Respiratory Nursing
Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.
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