FUNDAMENTALS OF NURSING STUDY GUIDE /
ACTUAL TEST QUESTIONS WITH DETAILED
VERIFIED ANSWERS / ALREADY GRADED A.
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Terms in this set (213)
Assessment: collecting vital signs, pain levels, other signs/
symptoms
Diagnosis: nurse makes a nursing diagnosis based on
assessment of patient; not a medical diagnosis
Planning: nurse comes up with client-centered goals; need
to be measurable (client will ambulate 10 meters 3x
daily for 2 wks)
Implementing: following through with plan that was developed for
the patient
Evaluation: goal was met, partially met, not met; how effective
the plan was for the patient and what should be
changed for the patient
Normal range for temperature 96.8-100.4
Normal range for pulse 60-100
, Normal range for respirations 12-20
Normal range for BP 100/60-140-90
Normal range for pulse ox. >95%
SOLER sit close, observe, lean forward, eye contact, relax
Types of pain acute, chronic, cancer, by inferred pathology,
idiopathic
Pain threshold level of stimulus needed to produce the
perception of pain
Pain tolerance amount of pain a patient endures without its
interference of ADLs
Factors influencing pain age, fatigue, genes, neurological functions, social
factors, spiritual factors, psychological factors,
cultural factors
Behavioral responses to pain clenching teeth, holding painful part, bent posture,
grimaces, cries or moans, restlessness, frequent
requests of the nurse; confused patient may not
show reaction
Pharmacological pain relief analgesics (NSAIDS & non-opioids, opioids,
adjuvants)
ACTUAL TEST QUESTIONS WITH DETAILED
VERIFIED ANSWERS / ALREADY GRADED A.
Save
Terms in this set (213)
Assessment: collecting vital signs, pain levels, other signs/
symptoms
Diagnosis: nurse makes a nursing diagnosis based on
assessment of patient; not a medical diagnosis
Planning: nurse comes up with client-centered goals; need
to be measurable (client will ambulate 10 meters 3x
daily for 2 wks)
Implementing: following through with plan that was developed for
the patient
Evaluation: goal was met, partially met, not met; how effective
the plan was for the patient and what should be
changed for the patient
Normal range for temperature 96.8-100.4
Normal range for pulse 60-100
, Normal range for respirations 12-20
Normal range for BP 100/60-140-90
Normal range for pulse ox. >95%
SOLER sit close, observe, lean forward, eye contact, relax
Types of pain acute, chronic, cancer, by inferred pathology,
idiopathic
Pain threshold level of stimulus needed to produce the
perception of pain
Pain tolerance amount of pain a patient endures without its
interference of ADLs
Factors influencing pain age, fatigue, genes, neurological functions, social
factors, spiritual factors, psychological factors,
cultural factors
Behavioral responses to pain clenching teeth, holding painful part, bent posture,
grimaces, cries or moans, restlessness, frequent
requests of the nurse; confused patient may not
show reaction
Pharmacological pain relief analgesics (NSAIDS & non-opioids, opioids,
adjuvants)
