Question

A client who was suddenly overwhelmed with an intense fear that something terrible was going to happen is brought to the emergency department by the spouse after they were out at dinner. The client is now shaking, hyperventilating, and having heart palpitations. What is the priority nursing action?

Answer 1

Explanation:

In this case, the priority action of nursing is to stay in the room with the client, to constantly monitor his vital functions and medicate him and try to calm him down so that his cardiac, nervous and respiratory functions return to normal.

The monitoring of this patient is ideal, as the impairment of some essential function of the human body could lead to a more aggravated condition.

Answer 2

The priority nursing action for this condition includes;

Admit the client in a well ventilated room and make the client comfortable to ease anxiety.

Minimize visitors and anything that might pose a stressor to the client.

Alley her fears and reassure the

client.

Maintaining a calm non-threatening manner while working with the client.

Establish and maintain a trusting relationship by listening to the client inorder to ease her anxious state.

Answer the client's questions directly offering unconditional acceptance and being available while respecting the client's use of personal space.

Remain with the client at all times especially when the level of anxiety seem high as well as reassuring the client of his/her security and safety.

Educate the client on anxiety and make him/ her understand that it is treatable.

Encourage client to observe relaxation exercise and suggest/provide diversional therapy like music.

Administer anti-anxiety medication when necessary.example; diazepam to relieve anxiety and make the client calm