Main Answer
The nurse should instruct the client to use the incentive spirometer first.The option C is correct.
Explanation
When caring for a client with bilateral pneumonia and an SaO2 of 85%, it is essential to prioritize interventions that can immediately improve the client's respiratory status.
The client's symptoms, including dyspnea, a productive cough, and the use of accessory muscles to breathe, indicate that they are experiencing significant respiratory distress.
In this situation, the nurse should take immediate action to help the client breathe more easily and prevent further respiratory complications.
The first intervention that the nurse should implement is instructing the client to use an incentive spirometer. An incentive spirometer is a device that helps clients with respiratory conditions to take deep breaths and expand their lungs fully.
By using an incentive spirometer, the client can improve lung function, reduce dyspnea, and prevent further lung damage associated with pneumonia. The nurse should demonstrate how to use the device properly and encourage the client to use .
it frequently throughout the day. This intervention can provide immediate relief for the client and help prevent further respiratory complications.
While other interventions, such as obtaining ABGs or administering IV antibiotics, may also be necessary in this situation, they should be implemented after the nurse has taken immediate action to address the client's respiratory distress.
By prioritizing interventions that can immediately improve the client's respiratory status, the nurse can help prevent further respiratory complications and promote overall health and wellbeing for the client.The option C is correct