If a patient complains of sudden chest pain, what should a nurse do first?

• A. Administer pain medication immediately
• B. Assess the patient's vital signs and notify the physician
• C. Reassure the patient and monitor closely
• D. Ask the patient about their medical history

Answer: (B)

In cases where a patient presents with sudden chest pain, the priority is to assess the situation thoroughly to determine its severity and potential cause. Assessing vital signs is crucial as it provides immediate information about the patient's hemodynamic status, which can indicate whether they are experiencing a life-threatening condition, such as a myocardial infarction or pulmonary embolism. Vital signs will help to identify changes in heart rate, blood pressure, and respiratory status that require urgent attention.

Notifying the physician is also an essential step in the process, as the provider will need to be informed about the patient's condition to guide further assessment and intervention. This collaboration ensures that the patient receives timely care, which can significantly impact outcomes in acute situations.

While other options may seem reasonable, such as administering pain medication, reassurance, or obtaining a medical history, they do not prioritize the immediate assessment and stabilization of the patient, which is critical in any scenario involving sudden chest pain. Addressing vital signs and alerting a physician serves as an essential first step in managing the patient's care safely and effectively.