hard · NCLEX-RN Physiological Adaptation

The client exhibits acute signs of superior vena cava (SVC) syndrome. Sequence the nursing actions in the correct chronological order to optimize airway patency and cerebral perfusion while executing the medical plan.

  1. Elevate the head of the bed (HOB) immediately to 45 degrees (semi-Fowler's position).
  2. Apply oxygen at 2–4 L/min via nasal cannula as ordered to treat hypoxemia.
  3. Insert a peripheral IV catheter and draw the requested stat blood specimens.
  4. Administer the ordered IV methylprednisolone 60 mg bolus push.
  5. Accompany the client to radiology with emergency monitoring equipment for the contrast-enhanced chest CT.

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