A patient with increased dyspnea has bilateral crackles on auscultation. Which action should the nurse take?
a. Notify the RN.
b. Help the patient lie on the right side.
c. Raise the head of the bed to 90 degrees.
d. Teach the patient how to use oral suctioning.
ANS: C
High Fowler's position aids breathing as the lungs can more easily expand the higher upright the patient sits. A. Placing the patient in an optimal position would be the first priority. Then the RN should be notified. B. Lying on the right side will not improve oxygenation. D. The patient does not need to be instructed on the use of oral suctioning.
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