Question

The nurse is caring for a patient who came to the hospital with acute shortness of breathe. What is the priority action of the nurse as the assessment process is started?

Answer 1

The nurse's priority action is to assess the patient's airway and risk of aspiration.

Step-by-step explanation:

The priority action for the nurse as the assessment process is started when caring for a patient with acute shortness of breath is to assess the patient's airway and risk of aspiration. This involves evaluating the patient's breathing, determining if there are any blockages or obstructions in the airway, and ensuring appropriate equipment and assistance are available if needed.

Assessing the airway and risk of aspiration is crucial because it helps determine the immediate threat to the patient's life and guides the next steps in the care plan. In cases of acute shortness of breath, it is important to address any airway obstructions or blockages promptly to prevent further complications.

For example, if the patient has a complete airway obstruction, the nurse may need to perform immediate interventions such as the Heimlich maneuver or providing emergency oxygenation and ventilation support.