Care Manager Certification Practice Exam

For a client with COPD who is on oxygen and reports difficulty breathing, what should the nurse do first?

1. Increase the oxygen flow to 3L/min.

2. Assess the client's respiratory status.

3. Call emergency services for the client.

4. Have the client cough and expectorate secretions.

The correct answer is: Assess the client's respiratory status.

In the scenario presented, the most appropriate first action for the nurse is to assess the client's respiratory status. This step is critical because it allows the nurse to gather essential information about the client's current condition, including any signs of respiratory distress, such as increased work of breathing, use of accessory muscles, or changes in oxygen saturation levels. Understanding the patient's baseline and current respiratory function will guide further interventions. For instance, if the assessment reveals severe hypoxia or respiratory failure, it may necessitate immediate adjustments to oxygen therapy or other urgent interventions. Conversely, if the assessment indicates that the client is managing their symptoms well despite the reported difficulty, the nurse can make more informed decisions about additional treatments or supportive measures. In healthcare, prioritizing assessment before intervention is a key principle, as it ensures that care is both timely and appropriate based on the client's specific needs. This foundational practice is crucial in managing chronic conditions like COPD, where individualized care can significantly impact patient outcomes.