During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The client also is pale and has a wide open mouth and raised eyebrows. What should the nurse do first
A. Assist with deep breathing into a paper bag.
B. Orient the client to person, place, and time.
C. Set limits for acting out delusional behaviors.
D. Administer an anxiolytic agent IM.
参考答案：A
解析：Physiologic needs, particularly breathing, are the first priority during a panic attack. Restoring normal breathing patterns should relieve the other symptoms. Orientation usually is unnecessary because most clients respond to external control and reduced stimulation. During a panic attack, the client isn’t likely to act out but may strike out if feeling threatened. An anxiolytic agent may be effective but isn’t the first priority.
