A nurse is reviewing the health history and physical assessment findings for a client who is having respiratory problems. Of the following data collected, what data from the health history would be a cue to a nursing diagnosis for this problem?
A) "I often have diarrhea after I eat spicy foods."
B) "My skin is so dry I just can't keep from scratching."
C) "I get out of breath when I walk a few steps."
D) "I just feel so bad about myself these days."
Ans: C
Most experienced nurses begin the work of interpreting and analyzing data while they are still collecting it. The term cue is often used to denote significant data, which "raises a red flag" to look for patterns or clusters of data that signal a nursing diagnosis. In this instance, the client's statement of getting out of breath when walking would be a cue to assess other subjective and objective data related to the respiratory system.
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