If a client with a history of heart failure is exhibiting signs of respiratory distress, what is the priority nursing action?

Study for the Licensed Practical Nurse (LPN) Exit Exam. Practice with flashcards and multiple choice questions, each question comes with hints and explanations. Get ready to excel in your LPN exit exam!

The priority nursing action for a client with a history of heart failure who is exhibiting signs of respiratory distress is to apply pulse oximetry. This action is crucial because it allows the nurse to assess the oxygen saturation level in the client's blood. In respiratory distress, maintaining adequate oxygenation is essential for preventing further complications such as hypoxia and potential organ damage.

By monitoring oxygen levels promptly, it helps guide subsequent interventions and aids in determining the urgency of the situation. If the oxygen saturation is found to be lower than normal, further actions such as administering oxygen therapy or other interventions can be initiated quickly.

While auscultating lung sounds, notifying the healthcare provider, and positioning the client upright are important components of care for a patient in respiratory distress, they can follow after the initial assessment of oxygen saturation. Immediate insights from pulse oximetry play a vital role in ensuring that the client receives timely and appropriate treatment.

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