Fundamentals of Nursing Study Guide
Assessment: - Answer collecting vital signs, pain levels, other signs/ symptoms
Diagnosis: - Answer nurse makes a nursing diagnosis based on assessment of patient; not a medical
diagnosis
Planning: - Answer nurse comes up with client-centered goals; need to be measurable (client will
ambulate 10 meters 3x daily for 2 wks)
Implementing: - Answer following through with plan that was developed for the patient
Evaluation: - Answer 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 - Answer 96.8-100.4
Normal range for pulse - Answer 60-100
Normal range for respirations - Answer 12-20
Normal range for BP - Answer 100/60-140-90
Normal range for pulse ox. - Answer >95%
,SOLER - Answer sit close, observe, lean forward, eye contact, relax
Types of pain - Answer acute, chronic, cancer, by inferred pathology, idiopathic
Pain threshold - Answer level of stimulus needed to produce the perception of pain
Pain tolerance - Answer amount of pain a patient endures without its interference of ADLs
Factors influencing pain - Answer age, fatigue, genes, neurological functions, social factors, spiritual
factors, psychological factors, cultural factors
Behavioral responses to pain - Answer 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 - Answer analgesics (NSAIDS & non-opioids, opioids, adjuvants)
NSAIDS & non-opiates - Answer 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 liver failure
Opioids - Answer pain relivers that contain opium or chemically related to opium; ordered for
moderate to severe pain such as post-op, chronic non-cancer, or cancer; depresses respiratory center,
causes constipation, itching, altered mental status
Naloxone (Narcan) - Answer opiate antagonist, reverses opioid induced resiratory depression
Patient Controlled Analgesia (PCA) - Answer client has control with minimum risk of overdose; system
designed to deliver no more than specific number of doses
, Anesthetics - Answer depresses CNS from consciousness to unconsciousness; loss of responsiveness to
sensory stimuli including pain; muscle, skeletal, and visceral smooth muscle relaxation; general or local
Basal metabolic rate (BMR) - Answer energy needed to maintain life
Carbohydrates - Answer main source of energy; glucose needed for brain, skeletal muscles, production
of RBC/WBC, all functions of renal medulla; obtained from grains, fruits, veggies, milk, sugar, honey
Proteins - Answer essential from growth, maintenance, and repair of body tissue; amino acids;
complete and complementary; nitrogen balance
Fats - Answer triglycerides and fatty acids; saturated or unsaturated; monounsaturated or
polyunsaturated fatty acids; essential or nonessential
Water - Answer comprises 60-70% of body weight; cell function depends on a fluid environment, you
can only survive a few days without it, illness increases need for fluids
Vitamins - Answer essential to normal metabolism; fat soluble(A,D, K,E) can be stored in body except
D; water soluble(C and B complex) cannot be stored in body; obtained from fruits, milk, veggies, fish,
cereal, grains, nuts, sunlight
Minerals - Answer inorganic elements essential as catalysts in biochemical reactions; obtained in milk,
eggs, meats, grains; maintains acid/base balance, osmotic pressure, oxygen transport
Free Radical Theory - Answer presence of free radicals produced through normal respiration and
metabolism cause damage to existing cells, some believe this can be reversed through consumption of
vitamins and other products
Assessment: - Answer collecting vital signs, pain levels, other signs/ symptoms
Diagnosis: - Answer nurse makes a nursing diagnosis based on assessment of patient; not a medical
diagnosis
Planning: - Answer nurse comes up with client-centered goals; need to be measurable (client will
ambulate 10 meters 3x daily for 2 wks)
Implementing: - Answer following through with plan that was developed for the patient
Evaluation: - Answer 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 - Answer 96.8-100.4
Normal range for pulse - Answer 60-100
Normal range for respirations - Answer 12-20
Normal range for BP - Answer 100/60-140-90
Normal range for pulse ox. - Answer >95%
,SOLER - Answer sit close, observe, lean forward, eye contact, relax
Types of pain - Answer acute, chronic, cancer, by inferred pathology, idiopathic
Pain threshold - Answer level of stimulus needed to produce the perception of pain
Pain tolerance - Answer amount of pain a patient endures without its interference of ADLs
Factors influencing pain - Answer age, fatigue, genes, neurological functions, social factors, spiritual
factors, psychological factors, cultural factors
Behavioral responses to pain - Answer 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 - Answer analgesics (NSAIDS & non-opioids, opioids, adjuvants)
NSAIDS & non-opiates - Answer 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 liver failure
Opioids - Answer pain relivers that contain opium or chemically related to opium; ordered for
moderate to severe pain such as post-op, chronic non-cancer, or cancer; depresses respiratory center,
causes constipation, itching, altered mental status
Naloxone (Narcan) - Answer opiate antagonist, reverses opioid induced resiratory depression
Patient Controlled Analgesia (PCA) - Answer client has control with minimum risk of overdose; system
designed to deliver no more than specific number of doses
, Anesthetics - Answer depresses CNS from consciousness to unconsciousness; loss of responsiveness to
sensory stimuli including pain; muscle, skeletal, and visceral smooth muscle relaxation; general or local
Basal metabolic rate (BMR) - Answer energy needed to maintain life
Carbohydrates - Answer main source of energy; glucose needed for brain, skeletal muscles, production
of RBC/WBC, all functions of renal medulla; obtained from grains, fruits, veggies, milk, sugar, honey
Proteins - Answer essential from growth, maintenance, and repair of body tissue; amino acids;
complete and complementary; nitrogen balance
Fats - Answer triglycerides and fatty acids; saturated or unsaturated; monounsaturated or
polyunsaturated fatty acids; essential or nonessential
Water - Answer comprises 60-70% of body weight; cell function depends on a fluid environment, you
can only survive a few days without it, illness increases need for fluids
Vitamins - Answer essential to normal metabolism; fat soluble(A,D, K,E) can be stored in body except
D; water soluble(C and B complex) cannot be stored in body; obtained from fruits, milk, veggies, fish,
cereal, grains, nuts, sunlight
Minerals - Answer inorganic elements essential as catalysts in biochemical reactions; obtained in milk,
eggs, meats, grains; maintains acid/base balance, osmotic pressure, oxygen transport
Free Radical Theory - Answer presence of free radicals produced through normal respiration and
metabolism cause damage to existing cells, some believe this can be reversed through consumption of
vitamins and other products
