Problem with prioritizing

i had an ob exam today. the patient had an embolism, after applying oxygen, what is my next action:

1. call for assistance
   
2. insert a foley
   
3. prepare to intubate
   

1. administer oxygen as prescribed. (given in the stem on the question.)
   
   
2. position client in high fowler's position.
   
   
3. monitor lung sounds.
   
   
4. maintain bed rest and active and passive range of motion exercises as prescribed.
   
   
5. encourage use of incentive spirometry as prescribed.
   
   
6. monitor pulse oximetry.
   
   
7. prepare for intubation and mechanical ventilation for severe hypoxemia.
   
   
8. administer anticoagulation therapy intravenously with heparin sodium (bolus), followed by continuous infusion during acute phase.
   
   
9. administer warfarin (coumadin) orally, as prescribed, when heparin infusion is discontinued.
   
   
10. monitor prothrombin time and partial thromboplastin time closely.
    
    
11. prepare the client for embolectomy, vein ligation, or insertion of an umbrella filter, as prescribed.
    
    

• give oxygen (8-10 l/min) to decrease hypoxia.
  
  
• administer analgesics to relieve pain.
  
  
• elevate the head of the bed slightly to reduce dyspnea.
  
  
• initiate pulse oxymetry to evaluate oxygen saturation.
  
  
• administer intravenous heparin or thrombolytic drugs, such as streptokinase or urokinase. embolectomy may be performed.
  
  
• obtain critical care nursing for support of ventilation and cardiovascular status.
  
  

• be aware of the signs and symptoms of pulmonary embolism and be vigilant in assessments of women with thrombosis.
  
  
• report any sign of embolism to the healthcare provider.
  
  
• when signs of embolism are present, obtain assistance, position the woman to reduce dyspnea, and begin oxygen administration.
  
  
• the nurse should remain with the woman and provide information and support to a family that usually becomes increasingly fearful."
  
  

• restlessness
  
  
• cough
  
  
• blood-tinged sputum
  
  
• sudden, sharp chest pain
  
  
• dyspnea for no apparent reason with angina or pleuritic pain
  
  
• hypotension
  
  
• wheezing, rales, crackles
  
  
• shallow respirations
  
  
• weak rapid pulse
  
  
• tachypnea
  
  
• with a large embolus:
  cyanosis, syncope, distended neck veins
  
  

if this is the exact way the question was written i would petition for the question to be thrown out since answer choice #1 is vague if it is the correct answer.

i worked on a stepdown down unit for a long time and was a supervisor. my first inclination would have been to get the intubation tray ready. but, because this is a student forum i double-check my answers, so i looked in a couple of my books over here and copied what was in two of them. they were word for word out of the books, so if you want to use them, be my guest. the answer choice call for assistance was probably meant to be in reference to repositioning the patient so she could breathe easier, but it doesn't say that which makes it a poor answer choice. that is why i would fight to have the question dumped telling the instructor you would have chose it if it said call for assistance to help reposition the patient into high fowler's position and get yourself a couple of points back.