A client in the clinic complaining of abdominal pain tells the nurse that the food eaten last night must have been tainted. What action would the nurse take after the client states that the food was tainted?
1. Advise the client to take an antacid.
2. Ask open-ended questions to further assess.
3. Call an ambulance before assessing further.
4. Tell the client the physician does not need to assess the client.
2. Ask open-ended questions to further assess.
Rationale:
The nurse must recognize that the client has not given the nurse enough information. The client could, indeed, have eaten bad food or may be experiencing appendicitis. The nurse asks more questions followed by a physical examination. Short-cut decisions here could be harmful for this client. The nurse would not give advice about taking a medication. The nurse does not have enough information to make the decision to call an ambulance. Since the nurse does not have enough information, telling the client that a physician does not need to assess the client is inappropriate.
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