The office nurse receives 4 telephone messages. Which client should the nurse call back first?

Question

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Older individuals, diabetic clients, and women may have atypical angina symptoms rather than the characteristic crushing, substernal type of chest pain. These symptoms include atypical pain (jaw or arm), shortness of breath, indigestion, nausea, dizziness, and cold sweats. This client reports symptoms thought to be related to a dental problem, but the nurse needs to gather more information. The symptoms can indicate a cardiac medical emergency (myocardial ischemia or acute myocardial infarction) that requires immediate evaluation and intervention. (Option A) Minor expected adverse effects can occur 1-2 days after influenza vaccination. Symptoms include flulike symptoms (eg, fever, aching, itching at the injection site); analgesia with ibuprofen or acetaminophen can help provide relief. (Option B) The client's symptoms began following a specific event and can indicate a rotator cuff injury. Imaging, treatment with nonsteroidal anti-inflammatory drugs, and physical therapy may be indicated. Although further evaluation is necessary, this is not a medical emergency. (Option D) Solifenacin (VESicare) is a cholinergic antagonist prescribed to treat symptoms associated with an overactive bladder (eg, urge incontinence, frequency). Common expected adverse effects include dry mouth and constipation. The nurse should caution the client about safety when performing activities until the response to the medication is determined, as it can also cause dizziness and blurred vision. This is not a medical emergency. Educational objective: Women with myocardial ischemia and acute myocardial infarction (AMI) often have atypical pain and nonspecific symptoms. Evaluation and treatment for a suspected AMI are critical as it can be life-threatening.

The Office Nurse Receives 4 Telephone Messages