For which children would the nurse conduct an immediate comprehensive health history?
A) A child who is brought to the emergency room with labored breathing
B) A child who is a new client in a pediatric office
C) A child who is a routine client and presents with signs of a sinus infection
D) A child whose condition is improving
Ans: B
The purpose of the examination will determine how comprehensive the history must be. A comprehensive history would be performed for a new child in a pediatric office or a child who is admitted to the hospital. Also, if the physician or nurse practitioner rarely sees the child or if the child is critically ill, a complete and detailed history is in order, no matter what the setting. The child who has received routine health care and presents with a mild illness may need only a problem-focused history. In critical situations, some of the history taking must be delayed until after the child's condition is stabilized.
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