Question

A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing. The nurse finds a heart rate of 142, BP reading of 100/60, and respirations of 42. The nurse's first action should be to

a. elevate the head of the bed to 45 to 60 degrees.
b. administer the ordered pain medication.
c. notify the patient's health care provider.
d. offer emotional support and reassurance.

Answer 1

The first action a nurse should take when assisting a patient with symptoms indicative of a pulmonary embolism is to elevate the head of the bed to facilitate easier breathing.

Step-by-step explanation:

Given a patient's symptoms of chest pain and difficulty breathing, coupled with a heart rate of 142, a blood pressure reading of 100/60, and respirations of 42, the nurse's first action should be to elevate the head of the bed to 45 to 60 degrees.

This position can help improve the patient's breathing and oxygenation, which is critical in a situation suggestive of a pulmonary embolism. While notifying the patient's health care provider and providing emotional support are also important, the immediate priority is to address the patient's airway, breathing, and circulation.