RN Concept-Based Assessment Level 2 Online Practice B 2024

 

A nurse is caring for a client who has pneumonia. Which of the following actions is the priority for
the nurse to take?
-Monitor intake and output
-Provide teaching about antibiotic therapy
-Administer the influenza vaccine
-Observe the client perform incentive spirometry - answerObserve the client perform incentive
spirometry
When using the airway, breathing, and circulation framework, the priority action the nurse should
take is to observe the client perform incentive spirometry. Incentive spirometry improves gas
exchange and oxygenation and stimulates coughing, which assists in clearing secretions.