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

question 16

Multiple Choice

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.

• A) Assessment
• B) Diagnosis
• C) Planning
• D) Implementation
• E) Evaluation

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Definitions:

Mind

The set of cognitive faculties that enables consciousness, perception, thinking, judgment, and memory; a person's mental processes and state.

Stimulants

A category of drugs that speed up activity in the central nervous system, suppress appetite, and can cause a person to feel more awake, alert, and energetic; also called “uppers.”

Nervous System

The complex network of nerves and cells that transmit signals between different parts of the body, facilitating bodily functions and responses to the environment.

Depressants

A category of drugs that decrease activity in the central nervous system, slow down bodily functions, and reduce sensitivity to outside stimulation; also called “downers.”