CRNE Exam Prep

Category - Changes in Health

A client comes to the emergency department complaining of dyspnea and has a respiratory rate of 30 breaths per minute. The client receives a diagnosis of pneumonia. Which of the following is the initial action of the nurse?
  1. Initiate antibiotics, as ordered
  2. Instruct bed rest with bathroom privileges
  3. Administration of oxygen
  4. Encourage consumption of foods high in calories
Explanation
Answer: C - Administration of oxygen is the initial priority of the nurse. Oxygen administration addresses the immediate problems of the client. The other options are appropriate, but they are not a priority at this time.
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