Which of the following nursing activities is most reflective of the evaluation phase of the nursing process?
a. Administering pain medication prior to changing a complex wound dressing
b. Obtaining patient's blood pressure 30 minutes after administering blood pressure medication
c. Reporting that there have been three patient falls in the past month on the nursing unit
d. Teaching the patient how to perform daily Accu-Cheks for blood sugar readings
B
Evaluation is the final step of the nursing process. It is a planned, ongoing, systematic activity in which a nurse will make judgments about patient progress toward desired health outcomes, effectiveness of the nursing care plan, and the quality of nursing care in the healthcare setting. Evaluation data are collected after interventions are performed to determine whether patient goals were achieved. In this item, obtaining a patient's blood pressure after administering blood pressure medications evaluates the patient's response to the medication. Administering pain medication prior to performing a dressing change is an intervention, as is teaching a patient to perform an Accu-Chek. Reporting patient falls is part of the assessment process.
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Answer the following statement true (T) or false (F)