The nurse decides to administer tablets of Tylenol instead of the intramuscular Demerol she has previously been providing her orthopedic client. Which step of the nursing process does this ad-dress?
1. Assessment
2. Nursing diagnosis
3. Planning
4. Implementation
ANS: 4
Taking appropriate action demonstrates the implementation step of the nursing process. Assess-ment involves the gathering of data. When formulating a nursing diagnosis, the nurse critically examines and analyzes the data, and identifies the client's response to a problem. The nurse may then determine priorities. Planning involves establishing goals and expected outcomes of care.
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