In assessing a client with COPD, what should the nurse do first after reviewing their arterial blood gas report?

The first step after reviewing the arterial blood gas (ABG) report for a client with chronic obstructive pulmonary disease (COPD) is to assess the vital signs. Vital signs provide critical information regarding the client's overall stability, including heart rate, respiratory rate, blood pressure, and temperature. In COPD patients, respiratory parameters are particularly important as they can indicate the severity of hypoxemia or hypercapnia.

By assessing vital signs first, the nurse can gain insights into the patient’s respiratory status, cardiac function, and any immediate changes that may require intervention. This comprehensive evaluation supports informed decision-making for subsequent actions, like whether supplemental oxygen is needed or if there is a need for more intensive measures such as intubation.

Once vital signs have been assessed, the nurse can then determine the most appropriate interventions. While preparing for intubation, applying a non-rebreather mask, or repositioning the client are valid actions, they are contingent on the findings of the initial assessment of vital signs and the results of the ABG report. Thus, prioritizing vital sign assessment lays the groundwork for safe and effective patient care.