A patient is admitted to the unit in respiratory distress secondary to pneumonia. The nurse knows that obtaining a history is very important. What is the appropriate intervention at this time for obtaining this data?

a. Collect an overview of past medical history, present history, and current health status.
b. Do not obtain any history at this time.
c. Curtail the history to just a few questions about the client's chief complaint and precipitating events.
d. Complete the history and then provide measures to assist the client to breathe easier.


C
The initial presentation of the client determines the rapidity and direction for the interview. For a client in acute distress, the history should be curtailed to just a few questions about the client's chief complaint and the precipitating events.

Nursing

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A patient has been admitted to the emergency department after ingesting an unknown substance. The nurse finds agitation, tachycardia, hypertension, and episodes of tonic-clonic muscle movements

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An American Indian patient tells the nurse about how her family was originally from Maine but ended up in Florida. What would explain the relocation of American Indian tribes in the United States?

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On a 20-item Likert scale with five response categories, the range of possible scores is which of the following?

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Nursing

A mother has brought her 6-year-old son in for a check-up because the child is complaining of stomachaches. It is the beginning of the school year. Which of the following might the mother also mention?

A) The child cries before going to school. B) The child made friends the first day of school. C) The child fights with his siblings more often. D) The child loves the crowds in the lunchroom.

Nursing