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
On hospital day 4, a post-stroke client develops fever 101.8°F (38.8°C), productive cough with yellow sputum, and crackles in the right lower lobe.
Nursing statements
Drag each statement into the correct ADPIE phase, or into trash if it does not belong.
Ineffective airway clearance related to inflammation and retained secretions.
Assess cough effectiveness and work of breathing.
Client will demonstrate improved breath sounds and temperature < 100.4°F within 48 hours.
Monitor temperature curve and white blood cell trend.
Risk for impaired skin integrity related to immobility only, no respiratory focus.
Administer IV antibiotics and antipyretics on schedule.
Auscultate lungs, measure SpO₂, and obtain sputum specimen as ordered.
Trash, not part of the process
0Drop irrelevant statements here
A, Assessment
0Drop statements here
D, Diagnosis
0Drop statements here
P, Planning
0Drop statements here
I, Implementation
0Drop statements here
E, Evaluation
0Drop statements here
