A nurse is assisting in the care of a client in a mental health facility. During group therapy, the client stands up and starts pacing with their fists clenched. Which of the following actions should the nurse take first?

Rationale:

A. “Provide homeschooling for your child.” Most children with cystic fibrosis can attend school with proper care and infection control practices in place. Encouraging normal socialization and routine helps support emotional and developmental health.

B. "Ensure that your child does not receive the influenza vaccine annually”: Annual influenza vaccination is strongly recommended for children with cystic fibrosis due to their higher risk of respiratory infections and complications. Avoiding the vaccine puts the child at greater risk.

C. "Do not include your child when making decisions about treatment.” School-age children benefit from age-appropriate involvement in their care, which promotes cooperation, reduces anxiety, and builds a sense of control and responsibility over their health.

D. "Have your child wear a medical identification wristband.” Wearing a medical ID helps ensure that in emergencies, responders are aware of the child's condition and can provide appropriate, timely care. This is a safety measure recommended for children with chronic health conditions.

Rationale:

A. Nifedipine: Nifedipine is a calcium channel blocker that helps reduce myocardial oxygen demand by decreasing afterload and dilating coronary arteries. However, it is not the priority in acute chest pain management because it has a slower onset compared to nitroglycerin.

B. Nitroglycerin: Nitroglycerin is the priority medication for acute angina. It works rapidly by dilating coronary arteries and reducing myocardial oxygen demand, which helps relieve chest pressure and prevent progression to myocardial infarction.

C. Atenolol: Atenolol, a beta-blocker, decreases heart rate and contractility to reduce myocardial oxygen consumption. While useful for long-term angina management, it is not the first-line agent for immediate chest pain relief in acute settings.

D. Clopidogrel: Clopidogrel is an antiplatelet agent that prevents clot formation, often used in long-term management or following stent placement. It does not provide immediate relief from angina and is therefore not the priority medication in this scenario.