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29 January, 22:52

The nurse's physical assessment of a client with heart failure reveals tachypnea and bilateral crackles. what is the priority nursing intervention?

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  1. 30 January, 02:49
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    There are choices for this question namely:

    1. Initiate oxygen therapy

    2. Assess for a pleural friction rub

    3. Obtain a chest x-ray film immediately

    4. Place the client in a fowler's position

    The correct answer is that the nurse should "place the client in a fowler's position". The fowler's position is a position wherein the head and chest of the patient is elevated more than the lower extremities. In a patient with heart failure with tachypnea and bilateral crackles, the nurse should suspect pulmonary edema. By placing the patient in a fowler's position, the edema fluid in the lungs will gravitate towards the lower extremities, reducing pulmonary edema and reducing symptoms of dyspnea and tachypnea.
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