We had an exam today and I struggled with one of the answers. The nurse is caring for pt. with HF who is experiencing dyspnea , and bilateral crackles, and pulmonary edema. What is the nurses priority intervention:
Give PRN oxygen or give lasix as ordered.
The answer is apply oxygen but I chose to give lasix. I know all about ABC's and Maslow. However, the reason why I chose to give Lasix as ordered is because the sx are caused by pulmonary edema and the underlying cause needs to be addressed.
If the question would of asked what would should the nurse do FIRST
... I would have picked to apply Oxygen.
There is a difference between priority
and what to do first
. I'm a nurse in LTC ( LPN) and I have taken care many of residents with HF exacerbation. My first
nursing action for any resident with SOB secondary to pulmonary edema is to apply oxygen
. However, my priority
is to make sure that the underlying cause is addressed in order to prevent and treat symptoms. Most of the time that priority interventions includes getting an order for IM lasix if not already ordered.
Oxygen alone will provide temporary relief however it will not get rid of the pulmonary edema.
Please help me to understand how oxygen is a priority instead of a first nursing action. Thanks.