ATI Medical Surgical Proctored Exam Related

Review ATI Medical Surgical Proctored Exam related questions and content

A patient is assessing a client who has just been admitted to the emergency department. The client is having difficulty breathing and is using accessory muscles. What action by the nurse is best?

  • A. Administer oxygen at 2 liters per minute via nasal cannula.
  • B. Assess the client's vital signs including oxygen saturation.
  • C. Notify the Rapid Response Team immediately.
  • D. Place the client in a high Fowler's position.
Correct Answer: D

Rationale: The correct answer is D: Place the client in a high Fowler's position. Placing the client in a high Fowler's position helps improve lung expansion and oxygenation by maximizing chest expansion. This position facilitates better breathing mechanics and can alleviate respiratory distress.

Choice A is incorrect because administering oxygen via nasal cannula should be done after positioning the client properly. Choice B is important but assessing vital signs alone may not provide immediate relief to the client's breathing difficulty. Choice C, notifying the Rapid Response Team, is not the best immediate action as positioning the client correctly should be the priority before seeking additional help.