The nurse is caring for a client who states, "I do not feel good today.". Which is the best follow-up action to the client's statement for the nurse to implement?
1. Ask client to continue describing the feeling
2. Measure the blood pressure and temperature
3. State that the client's diagnostic testing had normal results
4. Compare recent laboratory results with the prior results
1
1. The nurse obtains additional client information as the best follow-up action because the client's statement is too vague, so the nurse asks the client to continue describing "I do not feel good today" because many disorders begin with nonspecific complaints. Depending on the details the client shares, the nurse plans and implements nursing care individualized to the client's description. This is a better choice than taking vital signs or checking test results because principles of diagnostics mandate completing the client history before objective data; a good diagnostician should be able to formulate a reasonable prognostication about the client's actual health alteration with the history alone.
2. Taking vital signs is a reasonable nursing intervention once the nurse collects more data to plan nursing care.
3. Stating that the diagnostic tests have normal results is a reasonable response after complete client information is obtained and fulfills the duty to provide information owed to the client by the nurse.
4. Comparing laboratory results is a reasonable response once the client history is complete.
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