The Nurse Observes a Patient Using This Gesture (See Diagram

The nurse observes a patient using this gesture (see diagram below) . What is the nurse's response? $$\begin{array} { | l | l | l | } \hline \text { Laboratory Results } & \text { Subjective Data } & \text { Objective Data } \\\hline \text { LA antigen - positive for } & \text { Complains of "sore throat," } & \text { Foul breath odor noted; } \\\text { strep } & \text { ear pain, difficulty } & \text { exudates present on } \\& \text { swallowing. } & \text { posterior pharynx } \\\hline \text { WBC } - 15,000 \mathrm {~mm} ^ { 3 } & \text { States, "I feel so tired and } & \text { Anterior cervical lymph } \\& \text { have no energy." } & \text { nodes enlarged an palpable } \\\hline & \text { States, "I'm not hungry and } & \text { Soft palate and mucous } \\&\text { nothing sounds good." } & \text { membranes edematous and } \\&&\text { red } & \\\hline && \text { T 102 (38.8 C) }\\\hline\end{array}$$

A) Assume the patient is having throat pain and administer pain medication.
B) Prepare to perform the Heimlich maneuver.
C) Assess the client for cyanosis, difficulty breathing, and stridor and wait until normal breathing resumes.
D) Sit with the patient until the laryngospasm passes and encourage deep breathing.