Where will the restraints be tied to the patient’s bed when the nurse is applying soft wrist restraints to the patient?

Choice A reason: This is correct. Risk for injury related to smoking near supplemental oxygen is the priority nursing diagnosis for this family. Smoking near supplemental oxygen can cause a fire or an explosion that can injure or kill the patient and the spouse. The nurse should educate the family about the dangers of smoking near oxygen and provide resources to help the spouse quit smoking.

Choice B reason: This is incorrect. Risk-prone health behavior related to inability to quit smoking is a relevant nursing diagnosis for this family, but not the priority. Smoking is a harmful habit that can cause various health problems, such as lung cancer, heart disease, and stroke. The nurse should assess the spouse's readiness to quit smoking and provide support and counseling.

Choice C reason: This is incorrect. Ineffective health maintenance related to continued use of cigarettes is a valid nursing diagnosis for this family, but not the priority. Smoking can impair the health of the patient and the spouse, especially if the patient has a respiratory condition that requires supplemental oxygen. The nurse should monitor the patient's and the spouse's vital signs, oxygen saturation, and respiratory status.

Choice D reason: This is incorrect. Ineffective family therapeutic regimen management related to noncompliance is an appropriate nursing diagnosis for this family, but not the priority. Smoking near supplemental oxygen can indicate that the family is not following the prescribed treatment plan for the patient's condition. The nurse should evaluate the family's understanding of the patient's oxygen therapy and the reasons for noncompliance.

Choice A reason: This is an incorrect choice because reassuring the patient that the shortness of breath will be relieved shortly is not the priority action of the nurse as the assessment process is started. Reassurance is a communication technique that involves expressing confidence or support to the patient and alleviating their anxiety or fear. However, it is not the most urgent action for a patient with acute shortness of breath, which is a sign of respiratory distress that can have various causes and complications. The nurse should first assess the patient's condition and provide oxygen therapy if needed.

Choice B reason: This is an incorrect choice because pulling the curtain around the bed and ensuring patient privacy is not the priority action of the nurse as the assessment process is started. Privacy is a patient right that involves protecting the patient's personal information and dignity. However, it is not the most urgent action for a patient with acute shortness of breath, which is a sign of respiratory distress that can have various causes and complications. The nurse should first assess the patient's condition and provide oxygen therapy if needed.

Choice C reason: This is an incorrect choice because telling the patient that the physician will be in shortly to start treatment is not the priority action of the nurse as the assessment process is started. Communication is a nursing skill that involves informing the patient of the plan of care and collaborating with other health care professionals. However, it is not the most urgent action for a patient with acute shortness of breath, which is a sign of respiratory distress that can have various causes and complications. The nurse should first assess the patient's condition and provide oxygen therapy if needed.

Choice D reason: This is the correct choice because listening to the patient’s lung sounds and checking the pulse oximetry level is the priority action of the nurse as the assessment process is started. Assessment is a nursing process that involves collecting and analyzing data about the patient's health status and needs. Listening to the patient’s lung sounds and checking the pulse oximetry level are essential steps to evaluate the patient's respiratory function and oxygenation. These actions can help the nurse to identify the possible cause and severity of the patient's shortness of breath and to initiate appropriate interventions.