The nurse identifies acute pain related to a surgical incision. Which action is appropriate before selecting interventions?
Correct answer: A. Set a pain goal with the patient
- A. Set a pain goal with the patient
- B. Administer analgesia without further assessment
- C. Record that the patient has recovered
- D. Replace the nursing diagnosis with the surgical diagnosis
Explanation
Planning includes setting patient-centred, measurable goals with the patient before interventions are selected. Further assessment and evaluation remain necessary, and the surgical diagnosis does not replace the nursing diagnosis.
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About Nursing Process and Health Assessment
Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.
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