The nurse is assessing a patient who is exhibiting symptoms of a panic attack, including palpitations, trembling, chest pain, and fear of dying. Which nursing intervention will take priority?
a. Sleep hygiene instruction
b. Medication administration
c. Medication assessment
d. One-to-one observation
d. One-to-one observation
The patient at panic level anxiety requires one-to-one observation to maintain safety until anxiety level decreases. Patients experiencing severe or panic anxiety cannot learn new information. Although the nurse can anticipate the possibility of medication being ordered for the patient, this is not the priority intervention. Assessment of the patient’s medications and any over-the-counter supplements is necessary, but would take place once safety is ensured.
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