A postoperative client suddenly develops shortness of breath, sharp chest pain, tachycardia, and an SpO2 of 82% on 2 L/min nasal cannula. What is the nurse’s priority action?

Question

Accepted Answer

C. Apply high-flow oxygen and activate rapid response/notify the provider — This presentation is concerning for pulmonary embolism. Priorities are ABCs—support oxygenation/ventilation and get immediate help (rapid response/provider) for urgent diagnostics and treatment.

Answer

A. Encourage deep breathing and coughing

Answer

B. Elevate the legs and apply warm compresses

Answer

D. Administer PRN pain medication and reassess in 30 minutes