After completing a physical assessment the nurse determines that a laboring client is experiencing a panic attack. What findings did the nurse use to make this clinical determination? Select all that apply
1. Flat affect
2. Monotone replies
3. Heart rate 120 bpm
4. Respiratory rate 28/minute
5. Disoriented to place and time
3, 4
Explanation:
1. A flat affect would be associated with depression.
2. Monotone replies are associated with depression.
3. A heart rate of 120 bpm indicates tachycardia, a manifestation of a panic attack.
4. A respiratory rate of 28/minute indicates hyperventilation, a manifestation of a panic attack.
5. Disorientation to place and time would be associated with schizophrenia.
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