HESI Management of a Skilled Care Unit Practice Test 2026 – Your All-in-One Guide to Exam Success!

When a resident shows a change in status, the immediate priority is to ensure their safety and comfort, particularly if the change indicates potential respiratory distress or a compromised airway. Elevating the head of the bed to a semi-Fowler's position is a vital first step in managing such situations. This position can help improve airway mechanics, facilitate breathing, and decrease the work of breathing, which is particularly important if the resident is experiencing shortness of breath or has other respiratory concerns.

In addition to providing physical support, elevating the head of the bed can make the patient feel more comfortable and can help to alleviate anxiety associated with sudden changes in health status. While other actions, such as administering oxygen or notifying the healthcare provider, are important, they may not provide immediate relief from breathing difficulties or may be less effective if the patient is not in a position that promotes optimal lung expansion. Hence, positioning takes precedence as the first action in this scenario.