What is the highest priority intervention for a patient with a suspected pneumothorax?

The highest priority intervention for a patient with a suspected pneumothorax is to prepare for chest decompression. A pneumothorax occurs when air enters the pleural space, leading to decreased lung expansion and potential respiratory distress. In severe cases, this condition can compromise the patient's ability to breathe adequately and can lead to tensions pneumothorax, a life-threatening situation where increased pressure in the thoracic cavity can compromise cardiac output and respiratory function.

Preparing for chest decompression directly addresses the underlying issue of trapped air in the pleural space, which is crucial for restoring adequate lung expansion and function. This intervention is prioritized over others because timely decompression can prevent the progression of respiratory failure and stabilize the patient.

Monitoring oxygen saturation, administering an intravenous bolus, and positioning the patient for comfort are all important supportive measures in managing a pneumothorax, but they do not resolve the immediate threat that a pneumothorax poses. While monitoring oxygen saturation helps assess the patient's respiratory status, it cannot rectify the underlying cause. Similarly, an intravenous bolus may be necessary for hydration or blood pressure support, but it does not address the critical need for airway management in the context of a pneumothorax. Positioning the patient for comfort might improve