Which of the following statements from a patient's history is it most important to investigate further?
a. "I have an allergy to peanuts."
b. "I have lost 30 pounds over the last 4 months."
c. "I don't like many vegetables so I take multivitamins."
d. "I drink 2 cups of coffee each morning."
B
The statement in option "b is most important to investigate further because any significant weight loss may indicate a serious problem. The statement about an allergy to peanuts is not the most important piece of information, although the nurse would want to investigate and document any food allergies. Option "c" is not the most significant statement; however, the nurse should investigate the types and amounts of vegetables the patient eats. Two cups of coffee is considered fairly typical and the patient is not consuming an excessive amount of caffeine.
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