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Question
The team leader is in the medication area preparing Mr. Smith's pain medication. Suddenly the student nurse runs up and says, "Come quick! There's something wrong with Mr. Smith!" As the nurse enters the room, she notes that Mr. Smith is gasping for breath and struggling to sit upright. He does not respond to the nurse's question, "Mr. Smith, what's wrong?" The nurse recognizes that immediate interventions are required. Which three nursing actions will the nurse perform first? The team leader is in the medication area preparing Mr. Smith's pain medication. Suddenly the student nurse runs up and says, "Come quick! There's something wrong with Mr. Smith!" As the nurse enters the room, she notes that Mr. Smith is gasping for breath and struggling to sit upright. He does not respond to the nurse's question, "Mr. Smith, what's wrong?" The nurse recognizes that immediate interventions are required. Which three nursing actions will the nurse perform first? Call the rapid response team. Call the provider. Apply oxygen and attach pulse oximeter. Position client in high Fowler's. Encourage the client to calm down. Assess respiratory effort. Perform a head-to-toe assessment. Take a full set of vital signs.
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