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Clinical Judgment

ADPIE Nursing Process

COPD Exacerbation Admission · L1

How this exercise works

Drag each nursing statement into Assessment, Diagnosis, Planning, Implementation, or Evaluation. Only one phase fits each statement — look for data vs. action cues.

Fundamental concept

How systematic ADPIE thinking supports safe practical nursing care, aligned with HHS quality initiatives.

Read: The Nursing Process: Assessment Through Evaluation →

Scenario

A 71-year-old with COPD is admitted with increased dyspnea, productive cough, and SpO₂ 89% on room air.

Nursing statements

Drag each statement into the correct ADPIE phase, or into trash if it does not belong.

Client will maintain SpO₂ ≥ 92% on prescribed oxygen within 24 hours.
Administer bronchodilator nebulizer treatment and oral corticosteroids as ordered.
Reassess breath sounds and SpO₂ 30 minutes after nebulizer treatment.
Note barrel chest, pursed-lip breathing, and use of accessory muscles.
Schedule outpatient pulmonary rehabilitation before discharge today.
Auscultate lung sounds anterior and posterior bilaterally.
Ineffective airway clearance related to thick secretions and fatigue.

Trash — not part of the process

0

Drop irrelevant statements here

A — Assessment

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Drop statements here

D — Diagnosis

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Drop statements here

P — Planning

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Drop statements here

I — Implementation

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Drop statements here

E — Evaluation

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Drop statements here