Question

You document the following on the prehospital care​ report: "c/o​ H/A with associated​ n/v; pt. denies existing CNS problems or history of the​ same; states positive history of AAA and ETOH​ abuse." Regarding this​ narrative, which interpretation would be most​ accurate?

A.The patient has a headache
B.The patient has a history of migraines
C.The patient has a history of illegal drug use
D.The patient is nauseated but not vomiting

Answer 1

The most accurate interpretation of the prehospital care report is that the patient has a headache and is experiencing nausea and vomiting, with no history of CNS problems but with a positive history of abdominal aortic aneurysm and alcohol abuse.

Step-by-step explanation:

The interpretation of the prehospital care report indicating "c/o​ H/A with associated​ n/v; pt. denies existing CNS problems or history of the​ same; states positive history of AAA and ETOH​ abuse" would be most accurate as follows:

• The patient complains of headache (H/A).
• The patient is experiencing nausea and vomiting (n/v).
• The patient denies any central nervous system (CNS) problems in the past or present.
• The patient has a positive history of abdominal aortic aneurysm (AAA) and alcohol (ETOH) abuse.

Therefore, the correct interpretation is that the patient has a headache and is nauseated with vomiting, which is a more accurate description than simply stating that the patient is nauseated but not vomiting. The report does not provide enough information to conclude that the patient has a history of migraines or illegal drug use.