Exhibits After the nurse assesses the client, the healthcare provider writes prescriptions. The nurse reviews the prescriptions. Which 2 prescriptions should the nurse complete first?

A. Perform pulmonary function test This is important for assessing lung function, but it is not an immediate priority during an acute exacerbation when the patient's oxygen saturation is low and they are experiencing respiratory distress. Pulmonary function testing can be done once the patient's acute symptoms are stabilized. B. Measure vital signs While vital signs are important for ongoing assessment, the patient's vital signs were already assessed at admission and are being monitored every 4 hours as per orders. Administering oxygen and albuterol to stabilize the patient's condition takes precedence over routine vital sign checks immediately after the initial assessment. C. Provide a regular diet tray This is a routine aspect of care and does not address the acute respiratory distress or hypoxemia that require immediate attention. It can be done once the patient's respiratory status has stabilized. D. Give albuterol as ordered The patient is experiencing an asthma exacerbation with wheezing and subcostal retractions. Albuterol is a bronchodilator that helps relieve bronchospasm and improve airflow. It was ordered for nebulization now and every 4 hours PRN (as needed) for wheezing. Administering albuterol promptly is crucial to help alleviate respiratory distress and improve lung function. E. Apply oxygen 1 L/minute The patient's oxygen saturation is 91% on room air, which is below the target of greater than 94%. Oxygen therapy is indicated to correct hypoxemia and improve oxygen saturation. The order specifies to titrate oxygen to keep saturation greater than 94%, starting at 1 L/minute via nasal cannula.