What is the first action for a nurse noticing a patient with abrupt respiratory distress following a bone fracture?

In the scenario where a patient exhibits abrupt respiratory distress following a bone fracture, immediately notifying the physician is the most critical first action. This urgency arises because respiratory distress can signal a serious complication, such as a fat embolism, particularly in a patient who has recently experienced a fracture.

The rapid onset of respiratory problems necessitates prompt medical intervention. While supplemental oxygen therapy may be beneficial in alleviating respiratory distress, the underlying cause must be assessed and addressed by a healthcare provider as soon as possible. Immediate communication with the physician facilitates swift diagnosis and management, which is crucial in minimizing the risk of complications or deterioration of the patient's condition.

Assessing the gag reflex, while important in certain contexts, does not directly address the immediate threat posed by respiratory distress. Similarly, while administering prescribed pain medications may help ease discomfort, it might not be appropriate until the cause of respiratory distress is established. The priority in this situation remains with alerting the physician to ensure the patient receives timely and appropriate care.