Just curious to know what other nurses think. To me it sounds obvious, but maybe I'm missing something...
Let's say you have a patient in an outpatient clinic with the following symptoms: he cannot swallow, cannot talk, and is drooling because he cannot swallow properly. He never had problems with swallowing or talking before this. He is in his 20s, and has a history of cancer when he was a child. No facial drooping or other symptoms present. As a nurse, would you recommend:
A)the patient should go to ER immediately for further evaluation, and it is most likely neurological rather than a GI issue
Or
B)the patient should be prescribed robinul and referred to a GI specialist.
To me, A seems obvious. But in this case, the doctor went with B, and I still don't really understand why. Any insights?