Which nursing action reflects evaluation?
A) The nurse identifies that the client has wound drainage.
B) The nurse sets an anxiety level of 3 or less with the client.
C) The nurse performs a colostomy irrigation.
D) The nurse assesses the client's response to pain medication.
Ans: D
Feedback:
Examples of evaluation include assessing the client's response to pain medication. The focus of diagnosing is recognition of a client health problem that can be prevented or resolved by independent nursing intervention, such as a wound infection. Setting an anxiety rating with the client is an example of is an example of planning. Performing colostomy irrigation is an example of implementation.
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