Fundamentals of Nursing Study Guide Latest 2023 Graded A+

Fundamentals of Nursing Study Guide Latest 2023 Graded A+ 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) NSAIDS & non-opiates has analgesic/ antipyretic effects; available OTC; used for moderate to mild pain; blocks pain impulses by inhibiting prostaglandin synthesis; lethal when overdosed; do not take with alcohol; do not take if liver dysfunction, possible