The nurse is completing the admission of an older adult patient with a history of COPD whose diagnosis is pneumonia. Which assessments would be most important to include in obtaining the history? (Select all that apply.)
a. Smoking history and exposure to secondhand smoke
b. Current medications
c. Chief complaint and onset of symptoms
d. Support system
e. Home oxygen use
f. Liver function
ANS: A, B, C, D, E
It is important to assess present and past respiratory history (including smoking history and exposure to secondhand smoke), obtain thorough medication history, ascertain the chief complaint and current pulmonary symptoms (including cough and sputum color), determine the patient's support system, and ask about any home treatments when obtaining information from a patient with acute and chronic lung disease. Liver function testing is not necessary for the assessment of this patient.
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