A nurse enters a client's room to evaluate the response to IV pain medication administered by request 20 minutes earlier.The nurse finds the client in the same position as when the medication was administered.The client states,"I do not want to move." The nurse asks the client to rate the current level of pain.Which aspects of the nursing process do these action represent? Select all that apply.

Question

Quizplus · Accepted Answer

A) The nurse is engaging simultaneously in an assessment, implementation, and evaluation as she (1) observes the client's behavior and asks about her current pain level (assessment), (2) implements an aspect of care by following up on the prior pain administration (implementation), and (3) evaluates the client's response to the earlier pain administration (evaluation). Phases of the nursing process overlap and are not separate entities.
B) The nurse is engaging simultaneously in an assessment, implementation, and evaluation as she (1) observes the client's behavior and asks about her current pain level (assessment), ?(2) implements an aspect of care by following up on the prior pain administration (implementation), and (3) evaluates the client's response to the earlier pain administration (evaluation). Phases of the nursing process overlap and are not separate entities.
C) The nurse is engaging simultaneously in an assessment, implementation, and evaluation as she (1) observes the client's behavior and asks about her current pain level (assessment), ?(2) implements an aspect of care by following up on the prior pain administration (implementation), and (3) evaluates the client's response to the earlier pain administration (evaluation). Phases of the nursing process overlap and are not separate entities.
D) The nurse is engaging simultaneously in an assessment, implementation, and evaluation as she (1) observes the client's behavior and asks about her current pain level (assessment), ?(2) implements an aspect of care by following up on the prior pain administration (implementation), and (3) evaluates the client's response to the earlier pain administration (evaluation). Phases of the nursing process overlap and are not separate entities.
E) The nurse is engaging simultaneously in an assessment, implementation, and evaluation as she (1) observes the client's behavior and asks about her current pain level (assessment), ?(2) implements an aspect of care by following up on the prior pain administration (implementation), and (3) evaluates the client's response to the earlier pain administration (evaluation). Phases of the nursing process overlap and are not separate entities.

A Nurse Enters a Client's Room to Evaluate the Response