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학습 자료 둘러보기 →For a patient with an acute pulmonary embolism, the highest priority intervention targets the primary problem: a V/Q mismatch causing hypoxemia. Position the patient in High Fowler's to maximize chest expansion and reduce diaphragmatic pressure, directly improving ventilation mechanics.
Encourage deep breathing and coughing exercises to expand atelectatic alveoli and mobilize secretions. This independent nursing action addresses the Breathing component of the ABCs before adjunctive oxygen or medication monitoring.
While anticoagulation safety and bleeding assessments are critical, they address potential complications. In the acute phase, an intervention that immediately mitigates life-threatening respiratory compromise takes precedence over monitoring for treatment side effects.
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