The nurse has been made aware of the following client situations.
The nurse should first assess the client with
1. heart failure who has a productive cough and is anxious
2. regional enteritis (Crohn’s disease) who is reporting cramping abdominal pain and diarrhea
3. idiopathic thrombocytopenic purpura (ITP) who has petechiae on the trunk and is reporting heavy menses
4. chronic obstructive pulmonary disease (COPD) who has dyspnea with exertion and is using accessory
muscles to breathe