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NCLEX-RN

Category - Physiological

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A client comes to the emergency department complaining of dyspnea with 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?

Initiate antibiotics, as ordered
Instruct the client that he has been placed on bed rest with bathroom privileges
Administration of oxygen
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 the first priority.

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