A patient is receiving medication to increase urine output.

The patient's urinary output increases significantly and the blood pressure decreases slightly.

Which type of side effect is a decrease in blood pressure?.

Choice A rationale:
Evaluation is the final step in the nursing process where the nurse determines if the goals set in the planning stage have been met. This does not involve identifying the therapeutic intent of a medication.
Choice B rationale:
Assessment is the first step in the nursing process where the nurse gathers information about the patient’s physical, psychological, sociocultural, and spiritual status. While this may involve understanding the patient’s medication regimen, it does not specifically involve identifying the therapeutic intent of a medication.
Choice C rationale:
Planning involves setting goals and developing a plan to meet those goals. While this may involve considering the therapeutic intent of a medication, it is not the step where this identification occurs.
Choice D rationale:
Implementation is the step of the nursing process where the nurse executes the plan of care. This includes identifying the therapeutic intent of a prescribed medication.

Choice A rationale:
Administering a medication to a patient is a Dependent nursing action because it requires a doctor’s order.
Choice B rationale:
Interdependent actions are those performed jointly with other healthcare team members, which is not the case here.
Choice C rationale:
Collaborative actions involve working closely with other healthcare professionals, but administering medication is typically a nurse’s responsibility.
Choice D rationale:
Independent nursing actions are those a nurse can take without a physician’s order, which doesn’t apply to medication administration.