A client has a history of diarrhea. The nurse is attempting to obtain information from the review of systems. When the nurse asks if several different foods cause diarrhea, the client responds, "Hmm, I don't usually eat that"
Which action by the nurse is most appropriate? a. Ask the client why he/she doesn't eat specific foods.
b. Continue to ask about other food associations with diarrhea.
c. Have the client list the foods eaten on a typical day.
d. Inquire about familial bowel problems.
A
All answers are appropriate ways to gather information when conducting a client history. However, the best response by the nurse at this time is to explore the topic of eating restrictions further before moving on to other topics. Many clients have self-imposed dietary restrictions in order to control unpleasant manifestations. This client may have stopped eating many foods to avoid diarrhea.
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