#nursing process

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A client receives morphine, 4 mg I.V., for relief of surgical pain. Thirty minutes later, the nurse asks the client whether the pain is relieved. Which step of the nursing process is the nurse using?

a) Assessment

b) Analysis

c) Implementation

d) Evaluation

Answer: d

Although the nurse is assessing pain relief, this action is considered part of evaluation, not assessment, because the nurse performed an intervention and is evaluating whether the goal has been met. During the nursing analysis (or diagnosis) step of the nursing process, the nurse labels or describes the client’s health problems or needs such as pain. During implementation, the nurse performs interventions to meet the client’s needs such as administering medication.

[last day of my clinical preceptorship today… last time I introduced myself to a patient as a student nurse… aaaaaaaaaaaaahhh how did this happen?!?!]

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