118. An 85-year-old female resident (Mrs. A) who has Alzheimer’s disease is extremely upset because she can’t findher clothes. She comes to the nurse’s station in tears, hyperventilating and shaking. You are in the midst ofassessing and treating another resident (Mr. B) with COPD, who is having breathing problems, and you are inthe process of setting up oxygen therapy ordered and a nebulizer treatment with albuterol. What becomes yourimmediate top priority?1. Stay focused on treating Mr. B.2. Set aside the respiratory treatments and go and help Mrs. A find her clothes.3. Explain to Mrs. A that her clothes are not missing.4. Ask a nursing assistant passing by in the hallway to assist Mrs. A and focus on the treatments orderedfor Mr. B.
(4) Your nursing priority in this case should be dealing with Mr. B who is physiologically unstable. However, Mrs. B’spsychological distress should not be considered less important. Delegating the task of providing assistance to Mrs. A tothe nursing assistant will help to meet her immediate needs for attention and buy some time for you to address Mr. B’sproblem.