A nurse is gathering assessment data for a client admitted from the ED. The wife of the client tells the nurse, "I will give you all the information you need
He does not tell the truth." It is best for the nurse to obtain her assessment information from the:
1. ED chart
2. Client
3. Wife of the client
4. Admitting physician
ANS: 2
The nurse can obtain supplementary information from the wife (3), the chart (1), and other health care professionals (4), but the client (2) is the primary source of information.
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