The nurse has assessed the hospitalized client. The nurse is preparing to document the findings using APIE. Rank the following findings in the proper order of documentation
Standard Text: Click and drag the options below to move them up or down.
1. The client states upon admission, "I don't know what's wrong with me, but I can't see out of my left eye and I can't stand up by myself.".
2. The client is unable to move from the bed to the chair without the assistance of two nurses. The client is unable to eat without assistance.
3. The healthcare provider writes an order for the nurse to administer heparin.
4. On the morning of the client's discharge from the hospital, the client has been able to ambulate 50 feet with a walker.
2,3,4,1
Rationale 1: The letters APIE refer to Assessment, Problem, Intervention, and Evaluation. When using this method, documentation of assessment includes combining the subjective and objective data.
Rationale 2: The letters APIE refer to Assessment, Problem, Intervention, and Evaluation. The nurse will draw conclusions from the data, identify and record the problem or problems, and plan to address these problems.
Rationale 3: The letters APIE refer to Assessment, Problem, Intervention, and Evaluation. Interventions are documented as they are carried out.
Rationale 4: The letters APIE refer to Assessment, Problem, Intervention, and Evaluation. Evaluation refers to documentation of the response to the plan.
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