Normal ranges for vital signs
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Temperature: 96.4-99.5°
Pulse: 60-100 bpm
Respirations: 12-20
BP: 120/80 (130/90 hyper & 90/60 hypo)
, Assessing, Planning, Implementing, Evaluating (Actions of developing plan of care for
a client)
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- Assessment: gathering/validating/organizing/recording data about
patient and health status. Initial/ongoing/comprehensive/special
needs/focused
- Planning (outcomes and interventions): Initial, ongoing, discharge: Care
Plan
- Implementing: doing, delegating, and documenting: ties into every other
step of the nursing process (ie: clarify orders, be sure its
safe/reasonable/prudent.
- Evaluating: planned, ongoing, systematic activity making judgments about
- clients progress to desired outcomes, effectiveness of care plan, quality
of nursing care
Positioning
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- Goals: promotion and prevention
- Devices: - beds, pillows, side-rails, trapeze bar, boots
- Positions: (What they are used for?)
- Fowlers: (Respiratory distress/Feeding) 30-45 degrees
- Semi-Fowlers: 15-30 degrees
- High-Fowlers: 45-90 degrees
- Supine: (sleep/some surgeries) on back
- Prone: (unconscious/spinal procedures) on stomach
- Sims: (enemas/rectal suppositories) on side with leg over body: enemas
or rectal suppositories
- Trendelenburg: (poor circulation/move pt. up in bed/abdominal
surgeries/raise BP) head angled down
- Reverse Trendelenburg: (GI Issues/Reflux) feet angled down
Give this one a try later!
Temperature: 96.4-99.5°
Pulse: 60-100 bpm
Respirations: 12-20
BP: 120/80 (130/90 hyper & 90/60 hypo)
, Assessing, Planning, Implementing, Evaluating (Actions of developing plan of care for
a client)
Give this one a try later!
- Assessment: gathering/validating/organizing/recording data about
patient and health status. Initial/ongoing/comprehensive/special
needs/focused
- Planning (outcomes and interventions): Initial, ongoing, discharge: Care
Plan
- Implementing: doing, delegating, and documenting: ties into every other
step of the nursing process (ie: clarify orders, be sure its
safe/reasonable/prudent.
- Evaluating: planned, ongoing, systematic activity making judgments about
- clients progress to desired outcomes, effectiveness of care plan, quality
of nursing care
Positioning
Give this one a try later!
- Goals: promotion and prevention
- Devices: - beds, pillows, side-rails, trapeze bar, boots
- Positions: (What they are used for?)
- Fowlers: (Respiratory distress/Feeding) 30-45 degrees
- Semi-Fowlers: 15-30 degrees
- High-Fowlers: 45-90 degrees
- Supine: (sleep/some surgeries) on back
- Prone: (unconscious/spinal procedures) on stomach
- Sims: (enemas/rectal suppositories) on side with leg over body: enemas
or rectal suppositories
- Trendelenburg: (poor circulation/move pt. up in bed/abdominal
surgeries/raise BP) head angled down
- Reverse Trendelenburg: (GI Issues/Reflux) feet angled down
