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What is the priority assessment for a patient with suspected pulmonary embolism?
Asked on May 21, 2026
Answer
In a patient with suspected pulmonary embolism (PE), the priority assessment is to evaluate respiratory status, focusing on signs of impaired gas exchange and hemodynamic stability. This includes assessing vital signs, particularly respiratory rate and oxygen saturation, and looking for symptoms such as sudden shortness of breath, chest pain, and tachycardia.
Example Nursing Steps:
- Step 1 – Assess the patient's respiratory rate, oxygen saturation, and level of consciousness.
- Step 2 – Administer supplemental oxygen if indicated and ensure IV access for potential medication administration.
- Step 3 – Monitor for changes in vital signs, document findings, and prepare for potential escalation of care.
Additional Comment:
- Prioritize airway, breathing, and circulation (ABCs) in all acute respiratory situations.
- Recognize that sudden onset of symptoms may indicate a life-threatening condition requiring immediate intervention.
- Communicate findings promptly to the healthcare team to facilitate rapid diagnostic testing and treatment.
- Be aware of risk factors for PE, such as recent surgery, immobility, or history of thromboembolic events.
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