The nurse is conducting a nursing history of a client with a respiratory rate of 30, audible wheezing, and nasal flaring. During the interview, the client denies problems with breathing. What action should the nurse take next?
A) Clarify discrepancies of assessment data with the client.
B) Validate client data with members of the health care team.
C) Document all data collected in the nursing history and physical examination.
D) Seek input from family members regarding the client's breathing at home.

Question

Quizplus · Accepted Answer

The nurse should clarify discrepancies of assessment data with the client to ensure accurate information is obtained for an appropriate plan of care. The client's denial of breathing problems conflicts with the objective data of a respiratory rate of 30, audible wheezing, and nasal flaring.

The Nurse Is Conducting a Nursing History of a Client