While assessing the client, the nurse notes that the client has a productive cough. Based on this observation, which question is appropriate for the nurse to include in the focused interview?
1. "Have you been losing weight?"
2. "How long have you been sick?"
3. "Are you wheezing?"
4. "Are you coughing up any mucus or phlegm?"
Correct Answer: 4
The nurse must determine if the cough is productive or nonproductive. A moist cough is often associated with lung infections. The color and odor of any mucus or phlegm (sputum) is associated with specific diseases or problems. At this point, the client should not be questioned about weight loss. The client may not necessarily be "sick." The client should be questioned about the cough during the focused interview and not about wheezing.
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