A client is brought to the emergency department in serious condition and needs an operation within the next hour. Which of the following principles does the nurse use to guide the health history? (Select all that apply.)
a. Assess the client's current health status.
b. Collect data pertinent to the immediate problem.
c. Strive to collect only pertinent data while being thorough.
d. Update the database when the client's condition allows.
e. Use a systematic approach to gather the client's entire health history.
A, B, C, D
Many factors influence the depth of health history the nurse should obtain. In this case, the client is in an emergent situation that does not warrant gathering information on the client's entire his-tory. However, for client safety, the nurse must assess the client's current health status, collect data relevant to the current situation, and strive to be as thorough as possible within these limita-tions. When the client is more stable, more data can be collected.
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