During the nursing assessment, the client complains of severe chest pressure following a motor vehicle accident. Which is the most appropriate action for the nurse to take at this point in the care of the client?
A) Determine whether the client has the necessary strength to cope with the issues related to the chest pressure.
B) Base assessment questions to ask the client about the chest pressure on a predefined format.
C) Disregard any possible family cardiac risk factors and concentrate on the client's complaint of chest pressure.
D) Limit revealing the extent of the other medical problems related to the motor vehicle accident from the client.
A
Feedback:
When assessing the client, if the nurse discovers that client has actual problems, the nurse should further question the client to identify whether the client has the actual strength to cope with the issues. The nurse should use critical thinking skills to guide the nursing actions and thoughts and not just predefined format questions. The nurse should assess risk factors as well as actual problems. Clients are the center of the healthcare team and the nurse should inform clients about their condition and when treatment is completed.
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