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a nurse invites a friend home one evening. on arrival, the friend sees the nurse's large, white, long-haired cat sitting on the couch and begins to experience palpitations, trembling, nausea, shortness of breath, and a feeling of losing control. what should the nurse do first?

User Hippo Fish
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Final answer:

To assist the friend experiencing a reaction to her cat, the nurse should first remove the friend from the cat's presence and then guide them to practice relaxation techniques. If symptoms persist, the nurse may need to seek further medical intervention.

Step-by-step explanation:

First Response to Palpitations and Symptoms of Anxiety

When a nurse's friend experiences palpitations, trembling, nausea, shortness of breath, and a feeling of losing control upon seeing a cat, the nurse should first ensure the physical safety of her friend. These symptoms strongly suggest an acute anxiety attack, possibly due to a phobia related to cats. Immediate steps include:

  • Removing the trigger - in this case, separating the friend from the sight of the cat.
  • Encouraging the friend to sit down in a quiet, comfortable area.
  • Assisting them to use deep breathing or other relaxation techniques.

Gaining control over the physical symptoms using these non-pharmacological techniques can help prevent escalation of the anxiety. If symptoms persist or worsen, it may be necessary to seek medical help. A healthcare professional can assess the individual's condition and provide appropriate intervention, which could include therapy or medication if required. The nurse's knowledge of symptom management and healthcare resources will be vital in such situations.

Relevance to Clinical Focus Cases

The friend's symptoms resemble to some degree the cases highlighted in the clinical focus vignettes. For instance, Patient B is experiencing symptoms such as increased heart rate and profuse sweating that could also be found in acute stress reactions. Understanding the context and underlying causes of symptoms is crucial for effective management in both everyday and clinical settings.

User Suresh Pattu
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