The nurse is in the room of a client who is sleeping in bed.The client experiences an episode of reflux with regurgitation.Which action does the nurse take first?

Question

Quizplus · Accepted Answer

The immediate danger for this client is aspiration.The nurse first should raise the head of the bed to reduce this risk.Asking the client to roll to the side will take too much time.The nurse can auscultate the client's lungs after raising the head of the bed.Calling the Rapid Response Team may or may not be necessary but would be done after the client is in a safer position.

The Nurse Is in the Room of a Client Who