Nursing
Fundamentals
9,10,11
Nursing
Process
-
ANS-Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment
-
ANS-gather
information
about
the
patient's
condition
Nursing
Process
in
order
-
ANS-assessment,
nursing
diagnosis,
planning,
implementation,
evaluation
subjective
-
ANS-patient
tells,
also
known
as
symptom
objective
-
ANS-must
see
or
hear,
also
known
as
a
sign
What
is
the
LPN
responsible
for?
-
ANS-LPN
assist
the
RN
on
care
plan
actual
nursing
diagnosis
-
ANS-an
change
in
a
client
ability
to
live
example:
constipation,
pain,
air
exchange
Risk(potential)
nursing
diagnosis
-
ANS-The
assessment
indicates
that
risk
factors
are
present
that
are
known
to
contribute
to
the
development
of
a
problem
Nursing
Interventions
orders
-
ANS-Physiologic
Safety
and
Security
Love
and
Belongingness
Esteem
Self-Actualization
Maslow's
Hierarchy
-
ANS-a
person
has
to
meet
needs
as
the
base
of
the
pyramid
before
advancing
to
the
needs
higher
on
the
pyramid
most
patients
-
ANS-physiologic
Evaluation
-
ANS-Review
the
patient-centered
goal
Reassess
the
patient
to
gather
data
End
of
report
content
-
ANS-Pt
name,
age,
sex,
allergies,
diagnosis
summery
of
shift
issues
Report
facts
only
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