Which of these questions is essential to include during the nursing assessment of a client who has digestive system symptoms?
a. whether the client was breast-fed or bottle-fed as an infant
b. whether the client consumes coffee or tea with meals
c. client's knowledge of the food pyramid
d. client's medication history, including over-the-counter drugs
D
When a client is experiencing gastrointestinal symptoms, the nurse should obtain data: history of the present complaint, including such aspects as length and frequency of symptoms, when symptoms occur, and factors that aggravate symptoms; the client's medication history, including both prescribed and over-the-counter drugs and the effectiveness of these medications; complete nutritional history, including foods that increase or decrease the symptoms, the effect of meals on symptoms, the appearance of symptoms within a certain time frame following meals, and the amount of fat, fiber, and fluids usually consumed; psychosocial factors, including compliance and noncompliance with health status and the client's typical meal patterns; physical examination, including the client's ability to chew and swallow and abdominal inspection, auscultation, percussion, and palpation; the client's bowel elimination patterns, including frequency, consistency, and quantity of bowel movements; and evaluation of diagnostic data, including reports of the client's laboratory, radiologic, and endoscopic examinations.
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