The nurse is working on a respiratory care unit in the hospital. On entering the room of a client with emphysema, the nurse notes that the client is experiencing respiratory distress. Which of the following actions should the nurse take?
a. Instruct the client to breathe rapidly.
b. Provide 28% oxygen at 2 L per minute via nasal cannula.
c. Place the client in the supine position.
d. Contact the physician.
B
The nurse should provide a low concentration of oxygen to the client.
The nurse should instruct the client to use pursed-lip breathing.
The most effective position for the client with cardiopulmonary disease is the 45-degree semi-Fowler's position, using gravity to assist in lung expansion and reduce pressure from the abdomen on the diaphragm.
The nurse's first priority should be to attend to the client, who is in respiratory distress, not to contact the physician.
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