Question

Nurse Jessica received report from the AP about Mr. Gomez's difficulty breathing and increased anxiety. Which of the following activities should be included in the nurse's plan of care?

Answer 1

Nurse Jessica's plan of care for Mr. Gomez should include assessing his vital signs, providing supplemental oxygen, assisting with rescue inhalers or nebulizer treatments, using calming techniques for anxiety, and being prepared to escalate care if necessary.

Step-by-step explanation:

Nurse Jessica is informed about Mr. Gomez's difficulty breathing and increased anxiety. In creating a plan of care, the nurse should prioritize interventions that address the patient's respiratory status and anxiety. These may include:

• Assessing Mr. Gomez's vital signs, particularly his oxygen saturation levels, and respiratory rate.
• Providing supplemental oxygen if indicated by his oxygen saturation levels.
• Assisting with the administration of prescribed rescue inhalers or nebulizer treatments if asthma is a known condition.
• Implementing calming techniques to help reduce anxiety, such as guided imagery or deep breathing exercises.
• Preparing for the possibility of escalating care if Mr. Gomez's respiratory status does not improve, which could include notifying the physician and preparing for potential advanced interventions.

Furthermore, it is critical to monitor the patient for any changes in condition and to document all interventions and patient responses thoroughly.