A client with severe respiratory insufficiency becomes short of breath during activities of daily living. Which nursing intervention is best?
a. Call the Rapid Response Team.
b. Decrease involvement in care until the episode is past.
c. Cluster morning activities to provide long rest periods.
d. Space out interventions to provide for pe-riods of rest.
B
Clients with shortness of breath and decreased oxygen saturation must be monitored closely. Mi-nimal involvement in activities is required if the client is severely short of breath. The nurse should continue to assess the client and can increase involvement in activities if shortness of breath subsides. The Rapid Response Team is not required. Clustering or spacing of activities does nothing to decrease the client's involvement, which is the cause of shortness of breath.
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