Which assessment data will give the nurse the best information to determine exposure to environmental hazards?
A) Physical examination
B) Laboratory tests
C) Health history
D) Nutritional history
C) Health history
Explanation: A) A physical examination may help to find exposure illnesses to environmental hazards, but has to be accompanied first by a health history.
B) Depending on the health history, biomonitoring of actual exposures may be done that often includes venous blood, urine samples, or other specimens.
C) The patient's health history is the most critical means to determine exposure to environmental agents. To be effective, the health history must include details about exposure to biological, chemical, physical, and psychosocial agents at work, in the home, and in the community for both present and past exposures. In addition, the health history should elicit information regarding the degree to which engineering, work practices, and PPEs are and were used to control hazards.
D) Based on the patient's health history, nutritional history may be performed, but is not the top priority for assessment.
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