In initial response to respiratory distress, which action directly initiates therapy?

• A. Administer oxygen as ordered
• B. Assess oxygenation
• C. Monitor vitals
• D. Escalate care as needed

Answer: (A)

The main idea is that the first action in respiratory distress is to start oxygen therapy to improve oxygen delivery. Administering oxygen as prescribed directly initiates treatment by increasing the fraction of inspired oxygen and raising the blood’s oxygen content, helping to relieve hypoxemia and reduce the work of breathing. While assessing oxygenation and monitoring vitals are essential for evaluating response and escalating care is necessary if the patient doesn’t improve, the actual initiation of therapy is the act of delivering oxygen. Use the correct device, FiO2, and flow rate, and continuously monitor SpO2 and clinical status to guide ongoing management.