Question

The nurse is caring for a patient who is scheduled for back surgery. The patient's medical history includes gastroesophageal reflux disease (GERD). During transport to the operating room, the patient complains of burning chest pain which he rates as "8" on a pain scale of 0 to 10. Which nursing action is most appropriate?

Answer 1

For a GERD patient facing burning chest pain, the nurse should assess the severity, inform the surgical team, and potentially provide immediate care such as elevating the bed and administering medications, while taking into account the need to possibly delay the surgery until the patient is stabilized.

Step-by-step explanation:

The most appropriate nursing action for a patient with gastroesophageal reflux disease (GERD) who is experiencing burning chest pain is to assess the severity of the symptoms and then notify the surgical team. The pain could indicate an exacerbation of GERD, or it could potentially be a sign of a more serious condition such as cardiac issues which need to be ruled out preoperatively. Given that heartburn is closely associated with the backflow of stomach acid into the esophagus, leading to irritation and discomfort, initial interventions could include elevating the head of the bed to prevent further acid reflux, administering prescribed antacids or acid-blocking medications, ensuring the patient is wearing loose clothing, and potentially delaying the surgery if the symptom are severe until the patient's condition is stabilized. Additionally, it is important to keep the patient calm and reassured while taking swift action.