Medical-Surgical Nursing 5th Edition New Brand
2025
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NPC - Implementation
This is where the established or formed plan is performed or put into action.
This is where nursing intervention is performed whether independent or dependent (need a
doctor's order in order to do something. Like administering medication.)
Febrile
Fever
NPC - Evaluation
Determining client or patient progress with established goal and the effectiveness of nursing
care plan.
Hyperthermia
Fever
Three Types of Physical Assessment
Comprehensive Assessment, Focused Assessment, and Initial Head-to-Toe shift assessment
Hypothermia
a temperature below normal body temperature
Comprehensive Assessment
is an in-depth assessment of the whole person which includes the physical, mental, emotional,
cultural, and spiritual aspects of patient's health.
Note: Usually done on Admission or when patient is admitted for the first time
Pyrexia
Fever; Body temp commonly above 105 F
Focused Assessment
examining and interviewing a patient in regards to a specific body system
Note: This assessment is done at the beginning of each shift
Factors that Affect Body Temperature
Environment, Time of Day, Gender, Physical Activity & Exercise, Medications, Stress, Food or
Drink, Illness
, Initial Head-to Toe Shift Assessment
a quick overall assessment of the patients condition to establish a baseline
What is the Nursing Process
A systematic framework using a five step method to create and develop a plan of care.
It is a problem-solving approach that enables the nurse to identify health problems (actual
diagnosis) and potential health problems (potential diagnosis).
The order goes as follows: Assessment, Diagnosis, Planning, Implementation, and Evaluation
NPC - Assessment
"Data Collection"
Includes Patient's History, Physicals, Physicians, Lab/Diagnostic Test Results, and Info from other
health personnel
Order of Nursing Process
Acronym "ADPIE"
Assessment (Data Collection), Diagnosis (Actual/Potential Health Risk), Planning (Patient Goals),
Implementation (Nursing Intervention), and Evaluation (Progress)
Normal Body Temperature Range
97 - 99.6 F
Normal Body Temperature Average
98.6 F
NPC - Nursing Diagnosis or Diagnosis
"Actual" or "Potential" (at risk) health problem
Note: The LPN assists the RN by collecting data
Fever
Indicates an elevation in body temperature.
It's the body's natural way of protecting itself.
NPC - Planning
Writing up desired "patient goals" and nursing interventions for each problem
Note: Goal is a statement that describes a measurable and observable behavior after nursing
interventions
2025
_______________________________________________________________________________
NPC - Implementation
This is where the established or formed plan is performed or put into action.
This is where nursing intervention is performed whether independent or dependent (need a
doctor's order in order to do something. Like administering medication.)
Febrile
Fever
NPC - Evaluation
Determining client or patient progress with established goal and the effectiveness of nursing
care plan.
Hyperthermia
Fever
Three Types of Physical Assessment
Comprehensive Assessment, Focused Assessment, and Initial Head-to-Toe shift assessment
Hypothermia
a temperature below normal body temperature
Comprehensive Assessment
is an in-depth assessment of the whole person which includes the physical, mental, emotional,
cultural, and spiritual aspects of patient's health.
Note: Usually done on Admission or when patient is admitted for the first time
Pyrexia
Fever; Body temp commonly above 105 F
Focused Assessment
examining and interviewing a patient in regards to a specific body system
Note: This assessment is done at the beginning of each shift
Factors that Affect Body Temperature
Environment, Time of Day, Gender, Physical Activity & Exercise, Medications, Stress, Food or
Drink, Illness
, Initial Head-to Toe Shift Assessment
a quick overall assessment of the patients condition to establish a baseline
What is the Nursing Process
A systematic framework using a five step method to create and develop a plan of care.
It is a problem-solving approach that enables the nurse to identify health problems (actual
diagnosis) and potential health problems (potential diagnosis).
The order goes as follows: Assessment, Diagnosis, Planning, Implementation, and Evaluation
NPC - Assessment
"Data Collection"
Includes Patient's History, Physicals, Physicians, Lab/Diagnostic Test Results, and Info from other
health personnel
Order of Nursing Process
Acronym "ADPIE"
Assessment (Data Collection), Diagnosis (Actual/Potential Health Risk), Planning (Patient Goals),
Implementation (Nursing Intervention), and Evaluation (Progress)
Normal Body Temperature Range
97 - 99.6 F
Normal Body Temperature Average
98.6 F
NPC - Nursing Diagnosis or Diagnosis
"Actual" or "Potential" (at risk) health problem
Note: The LPN assists the RN by collecting data
Fever
Indicates an elevation in body temperature.
It's the body's natural way of protecting itself.
NPC - Planning
Writing up desired "patient goals" and nursing interventions for each problem
Note: Goal is a statement that describes a measurable and observable behavior after nursing
interventions
