A client who was suddenly overwhelmed with an intense fear that something terrible was going to happen is brought to the emergency department by the spouse after they were out at dinner. The client is now shaking, hyperventilating, and having heart palpitations. What is the priority nursing action?

Question

Quizplus · Accepted Answer

This client is experiencing the symptoms of a panic attack and should not be left alone. The priority nursing action is to stay with the client to ensure the client's safety and offer support. Additional nursing actions while the client is experiencing panic symptoms include: Maintaining a calm, matter-of-fact approach Speaking calmly and using simple, clear words and phrases when providing information on emergency department procedures Placing the client in a room with as few stimuli as possible Administering an anti-anxiety medication such as a benzodiazepine (per health care provider prescription) Having the client take slow, deep breaths if hyperventilation is a problem (Option A) Deep breathing exercises can relieve hyperventilation, but the priority is to remain with the client to ensure safety. (Option B) Discussing the reasons for the panic attack is not appropriate while the client is still symptomatic. Once the client has calmed down, the nurse can discuss reasons for the attacks, evaluate stressors in the client's life, and assist the client in developing prevention strategies. (Option C) A private room is appropriate; however, just telling a client to relax is not helpful. Educational objective: The priority nursing action for the client experiencing symptoms of a panic attack is for the nurse to stay with the client in a calm environment, ensure the client's safety, and offer support.

A Client Who Was Suddenly Overwhelmed with an Intense Fear