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Nursing (PNLE)

Nursing Fundamentals

"Future RN! Nursing Fundamentals is the foundation of your practice. From the Nursing Process to Basic Skills, master these and you'll be a safe and effective nurse. Let's review the essentials!"

1. The Nursing Process (ADPIE) 🔄

This is the scientific method of nursing. Bawal mag-shortcut! Always follow the steps.

💡 ADPIE Mnemonic

  • Assessment: Gathering data (Subjective & Objective). The first and most critical step!
  • Diagnosis: Identifying the problem (NANDA format).
  • Planning: Setting SMART goals (Specific, Measurable, Achievable, Realistic, Time-bound).
  • Implementation: Doing the nursing interventions.
  • Evaluation: Checking if goals were met.

2. Vital Signs Assessment 🌡️

Know your normal values! These are the baseline for detecting changes in patient condition.

Vital Sign Normal Range (Adult) Key Notes
Temperature 36.5 - 37.5 °C Pyrexia (Fever) > 37.5°C. Hypothermia < 36.5°C
Pulse Rate 60 - 100 bpm Tachycardia > 100. Bradycardia < 60. Apical pulse is most accurate.
Respiratory Rate 12 - 20 cpm Tachypnea > 20. Bradypnea < 12. Assess for depth and rhythm.
Blood Pressure < 120/80 mmHg Hypertension ≥ 140/90. Hypotension < 90/60.
Oxygen Saturation 95 - 100% Hypoxia < 90%. Check nail beds and capillary refill.

3. Drug Administration Rights 💊

Patient Safety First! Never administer meds without checking the rights.

✅ The Golden Rights

  • 1. Right Patient (Name & DOB)
  • 2. Right Medication (Check label 3x)
  • 3. Right Dose (Calculate carefully)
  • 4. Right Route (PO, IV, IM, etc.)
  • 5. Right Time (Frequency)
  • 6. Right Documentation
  • 7. Right Reason
  • 8. Right Response

Test Your Knowledge! 🧠

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