A client with chronic lung disease is having difficulty breathing, and is slumped in the bed. The priority nursing intervention would be to:
1. place the client on oxygen.
2. have the client breathe into a paper bag.
3. call and request a code team.
4. place the client in a high Fowler's position.
Answer: 4
1. The client with chronic lung disease should not be placed on oxygen, as the client might experience respiratory failure.
2. Breathing into a paper bag will increase CO2 levels.
3. The client probably does not need the code team until the nurse has performed an assessment.
4. Clients with chronic lung disease need to be positioned in a semi-Fowler's or high Fowler's position, preferably leaning over a table or pillow to promote lung expansion. The nurse first would position the client correctly and then would assess the vital signs.
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