A woman arrives at the hospital complaining of chest pains and ...

[Davideckstein7]

A woman arrives at the hospital complaining of chest pains and shortness of breath. She has come in several times over the past two 2 weeks and the staff is doubtful that her symptoms are real.
 
  What is the first action for the health care team to implement? a. Complete a history, physical, and diagnostics.
  b. Arrange for a psychiatric consult.
  c. Provide discharge instructions and arrange for a follow-up visit.
  d. Obtain a prescription for an antianxiety agent.

Question 2

A client presents with symptoms of alcohol withdrawal and states, I haven't eaten in three days. A nurse's assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97?F (36?C) with dry mucous membranes and poor skin turgor.
 
  What should be the priority nursing diagnosis? 1. Knowledge deficit
  2. Fluid volume excess
  3. Imbalanced nutrition: less than body requirements
  4. Ineffective individual coping

[emsimon14]

Answer to Question 1

A
The first goal of care in every case is to rule out the presence of any physical disease or dysfunction.

Answer to Question 2

3
Rationale: The nurse should assess that the priority nursing diagnosis is imbalanced nutrition: less than body requirements. The client is exhibiting signs and symptoms of malnutrition as well as alcohol withdrawal. The nurse should consult a dietitian, restrict sodium intake to minimize fluid retention, and provide small, frequent feedings of nonirritating foods.

[Davideckstein7]

Thank you

[emsimon14]

No problemo