Read the case study and identify which

Read the case study and identify which phase of the nursing process best categorizes each item that is listed. This would include evaluation, assessment, planning, implementation, or nursing diagnosis. . Case Study: Sherryl Delano, a 53-year-old Italian American female, presents to the emergency center for evaluation and treatment of lower back pain. Ms. Delano reports she fell down several stairs at her home, landing on her back. The injury occurred approximately 24 hours ago, at around 5:00 p.m. yesterday. Since the injury occurred, her back pain has increased in intensity. Ms. Delano denies hitting her head or any other injuries. Ms. Delano denies any medical history. She reports that she has no allergies to food or medications. She takes a multivitamin each day. Her vital signs include BP 142/88 HR 84 RR 18 T 97.6 °F. Ms. Delano denies numbness or tingling in her extremities, and she demonstrates full mobility of her arms and legs. She rates her back pain as “7” on a scale of 0 to 10 (with 0 = no pain and 10 = worst imaginable pain). She describes the pain as “aching” and “constant with periods of muscle spasms.”Ms. Delano is admitted to the emergency department. You are Ms. Delano’s nurse. As you assist Ms. Delano with changing into an examination gown, you note a contusion (bruise) measuring approximately 2” in diameter in the midline region of her lower back. You assist Ms. Delano onto a gurney and place the call light within her reach. You position Ms. Delano for comfort, including placing a pillow beneath her knees. You then speak with the emergency department physician, Dr. Raji. After examining Ms. Delano, Dr. Raji orders the following interventions: · Meperidine 50 mg IM now · MRI of lumbar spine You educate Ms. Delano about the effects of meperidine and she verbalizes understanding of the teaching. You then administer meperidine 50 mg IM to Ms. Delano in her left deltoid. Ms. Delano states that she could tolerate back pain that rated “3” on a 0-10 scale. You collaboratively agree to aim for decreasing Mrs. Delano’s pain to “3” or less. Twenty minutes after receiving the medication, Mrs. Delano rates her back pain at “4” on a scale of 0-10. She is transported to scanning to complete her MRI. Q1. Identify the Phase of the Nursing Process of the below items below: 1. Patient verbalizes understanding of teaching about the effects of meperidine 2. Patient’s injury occurred approximately 24 hours ago 3. Patient positioned with a pillow beneath her knees 4. 2″ contusion was noted in the midline region of the patient’s lower back 5. Admitting vital signs include BP 142/88 HR 84 RR 18 T 97.6 °F 6. Twenty minutes after receiving meperidine 50 mg IM, the patient rates back pain at “4” on a scale of 0-10 7. Patient denies allergies to food or medications 8. Prior to discharge, the patient will rate her back pain at less than 3 on a scale of 0-10 (0 = no pain and 10 = worst imaginable pain) 9. Meperidine 50 mg IM administered at 17:55 10. Acute pain related to lower back injury as evidenced by the patient report of pain rating “7” on a 0-10 scale

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