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A client comes to the emergency department with a myocardial infarction. The client's husband tells the nurse that his wife has been taking calcium carbonate (Tums) for years for what she thought was indigestion. What is the best response by the nurse?

  1. Well, I am glad she is here, as it certainly was not indigestion

  2. Your wife should not have self-diagnosed herself. I hope she is going to be okay

  3. Why did you let her do that? She should have seen a physician

  4. Your wife was self-diagnosing, which is generally not a good idea

The correct answer is: Well, I am glad she is here, as it certainly was not indigestion

The best response by the nurse is option A: "Well, I am glad she is here, as it certainly was not indigestion." This response demonstrates empathy towards the husband while also acknowledging the severity of the situation. It validates the husband's concern for his wife and reassures him that she is now in the appropriate place to receive the necessary care for her myocardial infarction. Options B, C, and D focus on criticizing the wife for self-diagnosing or blaming the husband for not intervening, which could potentially lead to a breakdown in communication and trust with the couple during a critical moment in their lives. It is essential for the nurse to acknowledge the husband's perspective, provide support, and address the current health concern appropriately.