Label each scenario below with the letterthat corresponds to the step of the nursing process involved.
(A) Assessment
(P) Planning
(I) Implementation
(E) Evaluation
After labeling, explain the rationale for your choices. (Learning Objectives 4, 5, 6)
Scenarios:
Mr. Johnson is admitted to room 337 in an acute care facility. The nurse interviews the client to determine the history of this illness, health history, and family history. The nurse then performs the head-to-toe physical assessment. Mr. Johnson has complained of acute leg pain. The nurse collects further data specifically regarding Mr. Johnson’s leg pain.
The nurse checks Mr. Johnson’s admission orders and notes medication is ordered as needed for leg pain.
The nurse returns to Mr. Johnson’s room with his pain medication and administers the medication.
After allowing the pain medication appropriate time to act, the nurse returns to Mr. Johnson’s room asking if he has achieved any pain relief.
2. Mr. Johnson has now become diaphoretic and dyspneic. He has begun to complain of chest pain. Utilizing the “ABCs of Nursing”how would you prioritize your care for Mr. Johnson?