©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM
Fundamentals of Nursing Study Guide with Complete Solutions
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
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,©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM
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
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, ©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM
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
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