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Planning
Planning ( 5 Questions)
A nurse is performing initial planning for a client who has been admitted with pneumonia. Which of the following actions should the nurse take first?
Assessing the client's vital signs, oxygen saturation, and respiratory status is the first action the nurse should take because it provides baseline data on the client's condition and helps to identify any urgent needs or complications. This is consistent with the principle of prioritizing assessment before intervention and following the ABCs (airway, breathing, circulation) of emergency care.
Educating the client about the disease process and preventive measures is an important action, but not the first one. The nurse should assess the client's learning needs, readiness, and preferences before providing education. Education is also a lower priority than addressing any immediate threats to the client's health or safety.
Collaborating with the physician to prescribe antibiotics and bronchodilators is an appropriate action for a client with pneumonia, but not the first one. The nurse should assess the client's condition and obtain relevant laboratory and diagnostic tests before initiating pharmacological interventions. The nurse should also follow the physician's orders and the facility's policies and protocols when administering medications.
Setting goals and outcomes for the client's recovery and discharge is a necessary step in the nursing process, but not the first one. The nurse should assess the client's current status, needs, preferences, and resources before planning care. The nurse should also involve the client and family in setting realistic and measurable goals and outcomes.
Choice A reason:
Assessing the client's vital signs, oxygen saturation, and respiratory status is the first action the nurse should take because it provides baseline data on the client's condition and helps to identify any urgent needs or complications. This is consistent with the principle of prioritizing assessment before intervention and following the ABCs (airway, breathing, circulation) of emergency care.
Choice B reason:
Educating the client about the disease process and preventive measures is an important action, but not the first one. The nurse should assess the client's learning needs, readiness, and preferences before providing education. Education is also a lower priority than addressing any immediate threats to the client's health or safety.
Choice C reason:
Collaborating with the physician to prescribe antibiotics and bronchodilators is an appropriate action for a client with pneumonia, but not the first one. The nurse should assess the client's condition and obtain relevant laboratory and diagnostic tests before initiating pharmacological interventions. The nurse should also follow the physician's orders and the facility's policies and protocols when administering medications.
Choice D reason:
Setting goals and outcomes for the client's recovery and discharge is a necessary step in the nursing process, but not the first one. The nurse should assess the client's current status, needs, preferences, and resources before planning care. The nurse should also involve the client and family in setting realistic and measurable goals and outcomes.