NCLEX Question of the Day
Physiological Adaptation QID 1132
A client with a history of anxiety is admitted with chest pain. The ECG and cardiac enzymes are normal. Which of the following is the most appropriate nursing intervention?
Explanation
While the client's history of anxiety and normal ECG and enzymes suggest a possible anxiety-related cause of chest pain, it is most important for the nurse to assess for other potential causes. Chest pain can have many etiologies, including gastrointestinal, musculoskeletal, and respiratory issues, which should be ruled out.
Sublingual nitroglycerin is not indicated if the pain is not thought to be cardiac in origin. Providing reassurance prematurely, before a thorough assessment, could lead to missing a serious diagnosis. Deep breathing and relaxation can help with anxiety but should not be the first intervention. A comprehensive assessment is the priority.
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