Final answer:
The nurse is following the guidelines of the Nursing Process, which involves a systematic approach to identify a patient's healthcare needs, develop a plan of care, and evaluate the outcomes.
Step-by-step explanation:
In this case, the nurse is following the guidelines of the Nursing Process. The Nursing Process is a systematic approach that nurses use to identify a patient's healthcare needs, develop a plan of care, implement interventions, and evaluate the outcomes. It consists of five steps: assessment, diagnosis, planning, implementation, and evaluation.
The nurse begins by assessing the patient's health needs, gathering information about their condition, medical history, and any specific concerns. Based on this assessment, the nurse then makes a diagnosis, identifying the patient's health problems and potential risks. Next, the nurse creates a plan of care, outlining specific interventions and goals to address the patient's needs. Then, the nurse implements the plan by delivering the necessary interventions, such as administering medication, providing wound care, or offering emotional support. Finally, the nurse evaluates the effectiveness of the interventions and makes any necessary adjustments to the plan of care.