A client comes to the emergency department with shortness of breath, difficulty breathing, pressure in the chest, and a feeling of impending doom After diagnostic tests and an electrocardiogram, the findings are not consistent with an acute myocardial infarction. What should the nurse do next?
1. Assess the gastrointestinal system.
2. Obtain a history of recent events that might trigger anxiety or that might indicate drug abuse.
3. Ask the health care provider to prescribe pain medication.
4. Prepare discharge forms for the client.
Correct Answer: 2
Rationale 1: The client is not experiencing any gastrointestinal symptoms.
Rationale 2: It is appropriate for the nurse to investigate a more in-depth history on the client to find out if the symptoms could be related to a panic attack or drug abuse. This is necessary to decipher the best course of action.
Rationale 3: There is no reason for pain medication to be prescribed for this client.
Rationale 4: The client was experiencing acute symptoms, the cause of which has yet to be determined. The client is not going to be discharged yet.
Global Rationale: It is appropriate for the nurse to investigate a more in-depth history on the client to find out if the symptoms could be related to a panic attack or drug abuse. This is necessary to decipher the best course of action. The client is not experiencing any gastrointestinal symptoms. There is no reason for pain medication to be prescribed for this client. The client was experiencing acute symptoms, the cause of which has yet to be determined. The client is not going to be discharged yet.
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