Difficulty: Medium
Average Score: 88%
Simulated
Passage / Scenario
A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client reports difficulty breathingA home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. What is the nurse's priority action?
Correct answer
D
Rationale
Evaluating the client's respiratory status is the priority action. The nurse should assess the client's breath sounds, respiratory rate, use of accessory muscles, and oxygen saturation to determine the severity of the client's difficulty breathing and guide further interventions.