You Are the Nursing Supervisor on the 11 PM to 7

You are the nursing supervisor on the 11 PM to 7 AM shift.When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic.What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient?

A) Recognizes the patient may have pulmonary edema and orders (or asks the physician for an order) an IVP diuretic
B) Places a patient complaining of shortness of breath in high-Fowler's position after hearing coarse crackles and rhonchi and obtaining a pulse oxygenation of 88%
C) Increases the oxygen concentration
D) Notifies the instructor of the patient's complaints

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