The nurse uses the nursing process to create a plan of care for a hospitalized client. Rank the following activities of the nursing process in the proper order. Standard Text: Click and drag the options below to move them up or down
1. The nurse educates the client regarding the care of his sternal and leg incisions.
2. The client is admitted to the hospital with chest pain. The client is admitted with an evolving myocardial infarction and is taken to surgery for a coronary artery bypass graft.
3. The nurse determines that the client has an impaired skin integrity and an increased risk for the development of an infection.
4. The nurse develops a plan to help prevent some of the known complications associated with surgery.
2,3,1,4
Rationale 1: The steps of the nursing process begin with the assessment phase. The nurse assesses the objective and subjective information about the client.
Rationale 2: The second step is to create a nursing diagnosis using NANDA nursing labels.
Rationale 3: The third step is to develop a plan to help the client heal and prevent the development of complications.
Rationale 4: The fourth step is to implement nursing interventions that are based on the developed plan. The last step is to evaluate how well the nurse's plan for the client worked.
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