Fundamentals of Nursing Study Guide Rated 100% Correct!!

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, idiopathicPain threshold - level of stimulus needed to produce the perception of pain