Family Nurse Practitioner Exam

What is the most appropriate action for a patient presenting with chest pain, diaphoresis, and low blood pressure?

1. Perform a 12-lead EKG

2. Dial 9-1-1

3. Administer a morphine injection for pain

4. Observe the patient in the office

The correct answer is: Dial 9-1-1

In a scenario where a patient presents with chest pain, diaphoresis, and low blood pressure, the immediate concern is the possibility of a life-threatening condition, such as acute coronary syndrome or another serious cardiovascular problem. Dialing 9-1-1 is appropriate as it facilitates emergency medical services to quickly intervene and provide critical care, potentially including advanced life support, defibrillation, and rapid transportation to a hospital where the patient can receive appropriate diagnostic tests and treatment. While a 12-lead EKG is important in the workup of chest pain, it may not provide immediate intervention or the necessary support for a patient in distress. Administering morphine may help with pain management but does not address the underlying issue nor does it manage the urgent nature of the patient's presentation. Observing the patient in the office could lead to unnecessary delays in treatment and worsen outcomes if the patient is experiencing a serious condition. Therefore, calling 9-1-1 ensures that the patient receives timely and appropriate emergency care, which is crucial given the combination of symptoms presented.