A triage nurse in the emergency department is assessing a patient who presented with complaints of general malaise. Assessment reveals the presence of jaundice and increased abdominal girth

What assessment question best addresses the possible etiology of this patient's presentation?
A) "How many alcoholic drinks do you typically consume in a week?"
B) "To the best of your knowledge, are your immunizations up to date?"
C) "Have you ever worked in an occupation where you might have been exposed to toxins?"
D) "Has anyone in your family ever experienced symptoms similar to yours?"


Ans: A
Feedback:
Signs or symptoms of hepatic dysfunction indicate a need to assess for alcohol use. Immunization status, occupational risks, and family history are also relevant considerations, but alcohol use is a more common etiologic factor in liver disease.

Nursing

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