Question

the nurse is caring for a client who is experiencing an asthma attack. ten minutes after administering an inhaled bronchodilator to the client, the nurse returns to ask if the client is breathing easier. the nurse is engaging in which phase of the nursing process?

implementing
assessing
planning
diagnosing
evaluating

Explanation:

Analyze the clinical scenario

Using the Nursing Process Phases knowledge point, we identify that the nurse has already performed an intervention (administering an inhaled bronchodilator). Ten minutes later, the nurse returns to check the client's response to this specific intervention by asking if they are breathing easier.

Differentiate assessment from evaluation

Using the Assessment vs Evaluation knowledge point

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Because the nurse is specifically measuring the effectiveness of the previously administered bronchodilator, this action represents the evaluation phase of the nursing process.

Evaluate the given options

• Implementing: This phase involves carrying out the planned nursing interventions (e.g., the actual administration of the bronchodilator).
• Assessing: This phase involves gathering comprehensive baseline data before interventions are planned or executed.
• Planning: This phase involves setting measurable goals and choosing appropriate nursing interventions.
• Diagnosing: This phase involves analyzing assessment data to identify actual or potential health problems.
• Evaluating: This phase involves comparing the client's current status with the desired outcomes to determine the effectiveness of the nursing care. Checking if the client is breathing easier after medication administration is a key evaluative step.

Answer:

• Implementing
• Assessing
• Planning
• Diagnosing
• Evaluating (Correct answer)