A patient on the medical unit has told the nurse that he is experiencing significant dyspnea, despite that he has not recently performed any physical activity
What assessment question should the nurse ask the patient while preparing to perform a physical assessment?
A) "On a scale from 1 to 10, how bad would rate your shortness of breath?"
B) "When was the last time you ate or drank anything?"
C) "Are you feeling any nausea along with your shortness of breath?"
D) "Do you think that some medication might help you catch your breath?"
Ans: A
Feedback:
Gauging the severity of the patient's dyspnea is an important part of the nursing process. Oral intake and nausea are much less important considerations. The nurse must perform assessment prior to interventions such as providing medication.
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