What is the first action a nurse should take for a patient with acute chest pain?

In a situation involving a patient with acute chest pain, the first action a nurse should take is to perform a quick assessment and check vital signs. This step is crucial because chest pain can be indicative of serious conditions such as myocardial infarction or other cardiovascular emergencies. Conducting an initial assessment allows the nurse to gather essential information regarding the patient's condition, including the nature of the pain, its location, duration, and any accompanying symptoms such as shortness of breath, nausea, or diaphoresis.

By checking vital signs—such as heart rate, blood pressure, respiratory rate, and oxygen saturation—the nurse can evaluate the patient's cardiovascular status and identify any immediate risks or changes that may require intervention. This comprehensive approach ensures that the nurse has a complete understanding of the patient's condition before any treatments, such as administering pain medication or calling a physician, are considered.

Performing a quick assessment is foundational in prioritizing patient safety and determining the most appropriate plan of care for someone presenting with acute chest pain.