When a patient is going into respiratory failure, the first thing that the health care provider must do is administer nebulizer treatment. This will help the patient breathe and will improve the oxygen saturation until the physician arrives.
The urgent need is to stabilize the patient and to maintain his oxygen delivery until the respiratory therapists arrive. Moreover, you need to make sure that there is a personnel with the patient at all times. This means that you need to alert other nurses to call for help so that you can manage the patient on an immediate basis, which is important for his survival.
Give the nebulizer treatment herself.-rationale: the clients needs are preeminent, so the nurse should administer the nebulizer treatment immediately. the nurse can deal with the respiratory therapists lack of response after the clients condition is stabilized. there is no need to involve the physician in personnel issues. staying with the client is important, but it isnt a substitute for administering the needed bronchodilator. the order is for a nebulizer treatment not a metered-dose inhaler, so the nurse cant change the route without a new order from the physician.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: analysisreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 697.