The nurse is working in the clinic when a client comes in with sudden onset of malaise and muscle aches. During data gathering, the nurse asks the client which of the following? (Select all that apply)
1. "Have you had a flu shot?"
2. "Are you voiding sufficiently?"
3. "Is your cough productive?"
4. "Have you been exposed to influenza?"
5. "Do you have dizziness?"
1. "Have you had a flu shot?"
3. "Is your cough productive?"
4. "Have you been exposed to influenza?"
Rationale:
Based on the presenting symptoms, the nurse would ask if the client has had a flu shot or been exposed to the flu. Insufficient voiding and dizziness are not routine manifestations of influenza. Usually, the cough of an influenza client is nonproductive.
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