Question

a nurse is administering medications to four clients. the nurse should identify which of the following nursing actions as a part of the evaluation phase of the nursing process?

collecting information about a clients pain level following administration of a narcotic.

taking the blood pressure of a client before administering an antihypertensive medication.

lowering the level of a clients bed before administering a benzodiazepine medication.

instructing a client to rinse their mouth following administration of an inhalation corticosteroid.

Explanation:

The evaluation phase of the nursing process involves assessing whether a treatment (like administering a narcotic for pain) has achieved its intended outcome (pain relief). Collecting pain - level info post - narcotic admin is evaluation. Taking BP before an antihypertensive is part of assessment (to check baseline). Lowering the bed before a benzodiazepine (which can cause drowsiness) is a safety - related implementation. Instructing to rinse the mouth after an inhalation corticosteroid is an implementation (to prevent oral thrush).

Answer:

Collecting information about a client's pain level following administration of a narcotic.