The nurse decides to administer tablets of Tylenol instead of the intr

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

ANSWER

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.