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The Nurse Is Admitting to the Medical-Surgical Unit an Older

Question 8

Multiple Choice

The nurse is admitting to the medical-surgical unit an older adult with a diagnosis of pulmonary hypertension and right-sided heart failure. The client is complaining of shortness of breath, and the nurse observes conversational dyspnea. What is the first action the nurse should take?


A) Review and implement the primary care provider's prescriptions for treatments.
B) Perform a quick physical examination of breathing, circulation, and oxygenation.
C) Gather a thorough medical history, including current symptoms, from the family.
D) Administer supplemental oxygen to the client through a nasal cannula.

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