체험은 만족하셨나요?
방금 푼 그 흐름,
합격까지 이어보세요
지식 자료를 소장하고 멋진 의료인으로 성장하세요
학습 자료 둘러보기 →When a patient with acute decompensated heart failure presents with shortness of breath, the immediate priority is to assess the respiratory status. The nurse must gather data on breath sounds, respiratory rate, oxygen saturation, and work of breathing before any intervention.
Initiate a diagnostic evaluation such as a chest X-ray or arterial blood gas to confirm pulmonary edema and guide therapy. This structured assessment is foundational to safe and effective management.
Do not delay assessment to implement interventions like oxygen therapy or positioning. The nursing process mandates that a focused assessment precedes action, especially when the airway or breathing is compromised.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.