You have a patient with difficulty in breathing who says it feels like there is a squeezing feeling that wraps all around her ribs when she tries to take a deep breath. What is the priority intervention for this patient?

 

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Correct

- Get an ECG

- Check airway patency

- Listen to lung sounds

- Check a pulse

Rationale

Having a patient (especially female) with pain in the area of the chest, you want to do an ECG because this patient could be having a heart attack and most women do not recognize signs and symtpoms as chest pain or cardiac in origin. The very fact that the patient is talking to you tells you that their airway is open and patent. Also, they are speaking full senstences to you so they are not so short of breath that they are having life threatening breahting issues. The next concern is the heart.

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Question Information

NCLEX Category

Management of Care

Question Difficulty
Total - 100
Correct - 30
Percent Right - 30
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Question ID - 368773

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