What is the main priority for a nurse when dealing with a patient in respiratory distress?

The main priority for a nurse when dealing with a patient in respiratory distress is ensuring the airway is patent. This is critical because an obstructed airway can quickly lead to inadequate oxygenation and can rapidly escalate into a life-threatening situation. Maintaining an open airway is the fundamental first step in assessing and treating any patient struggling to breathe.

In respiratory distress, every intervention must support the patient's ability to breathe. If the airway is not clear, attempts to administer medications or monitor vital signs can be ineffective, as the patient may not be able to oxygenate properly. Even measures aimed at keeping the patient calm are secondary; a calm patient who cannot breathe effectively may still experience serious complications. Therefore, verifying that the airway is open and unobstructed must be the nurse's immediate focus.