What should the nurse do now?

Q. After this initial assessment what should the nurse do now?

• Assist Molly out of the surgery and advise her to phone her GP when she gets home
  Wrong – Molly is too unwell for the nurse to make this decision and requires further assessment today
• Refer to GP
  Wrong – this could take some time and she needs a review and management plan today
• Follow up appointment with nurse in 1 week
  Wrong – a week is a long time for someone with heart failure and worsening symptoms there hasn’t been a nurse assessment done yet and she needs reviewed today
• Call an ambulance
  Wrong – at this stage we don”t know if Molly needs an ambulance as she has not been fully assessed
• Ask a GP to come in and review urgently
  Correct – Molly requires further investigation as to why she is feeling worse and merits a timely review.