Difficulty: Medium
Average Score: 77%
Full-length
Passage / Scenario
The nurse is caring for a 21-year-old client.Nurses' Notes History and Physical Vital Signs
Emergency Department
0800: The client comes to the emergency department due to fear of having a heart attack. The client reports, "I was taking the bus home from work when my chest started feeling really tight. I'm lucky my friend was there and able to help me get to the hospital. What if my friend is not there next time?" The client describes experiencing similar episodes recently at random places and times and worries about when or where the next attack will occur
Which of the following findings require immediate follow-up? Select all that apply
Correct answer
A,C,E
Rationale
Chest tightness , palpitations , and shortness of breath suggest a panic attack or cardiac issue, requiring urgent evaluation.