In assessing a patient who is 440 lbs and experiencing shortness of breath, what is your MOST immediate action?

When a patient is experiencing shortness of breath, particularly one who weighs 440 lbs, the priority is to ensure that they can breathe as effectively as possible. Administering oxygen is crucial because it helps alleviate hypoxia, which is common in patients with respiratory distress. Additionally, avoiding a supine position is important; lying flat can further restrict the airway and worsen breathing difficulties, especially in a patient with obesity, as excess weight can compress the chest and abdominal area.

By providing supplemental oxygen and positioning the patient in a way that enhances their ability to breathe—often in a more upright position—you can significantly improve their respiratory status and comfort level. This approach prioritizes the immediate need for oxygenation and airway management, critical aspects of emergency care in a patient with shortness of breath.