A Client Is Sitting in a Busy ED Waiting Room

question 27

Multiple Choice

A client is sitting in a busy ED waiting room.The receptionist notifies the nurse that this client is starting to hyperventilate; complains of difficulty breathing and tightness in the chest; and is diaphoretic.This client has been seen within the past month for diagnosis of panic attack.A cardiac workup at the last ED visit was negative.Which should the nurse implement first?

• A)Move the client from the waiting area to a private ED cubicle.
• B)Prepare to administer lorazepam (Ativan).
• C)Administer oxygen via nasal cannula at 2-4 L/min.
• D)Order a 12-lead EKG and notify the physician of the client's status.

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Definitions:

Cognitive System

A network of mental processes related to thinking, perception, and memory.

Organization

Refers to a structured group of individuals working together to achieve common goals, which can vary in size, structure, and purpose across different contexts.

Disequilibrium

A state of cognitive imbalance or conflict that arises when new information contradicts existing beliefs or knowledge, driving the process of learning and adaptation.

Secondary Circular Reaction

A stage in Piaget's theory of cognitive development where infants (around 4-8 months) repeat actions that affect their environment, showing an early understanding of cause and effect.