When asked, an alert and oriented 44-year-old male tells you that he called 911 because "my chest is hurting." The man is also sweating and feels as though he is going to vomit. He has a history of high blood pressure and states that this pain "feels just like my heart attack two years ago." His pulse is 88 beats per minute, respirations are 18 per minute, and blood pressure is 156/92 mmHg. On room air, he has an oxygen level of 95%. Based on this information, how would you document his chief complaint on the patient care report?

Question

Quizplus · Accepted Answer

The chief complaint should be documented in the patient's own words, which in this case is "My chest is hurting."

When Asked, an Alert and Oriented 44-Year-Old Male Tells You