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Increased intestinal peristalsis.
Secretions remaining in the lungs.
Is not permitted out of bed.
Is independent with balanced periods fo rest and activity.
Is out of bed at mealtime only.
Will need assistance of two for all activities of daily living.
Normal or elevated signs.
Severe, unceasing pain.
Decreased body functions
Bring a body part to a center or middle line.
Bend the sole of the ftoot.
Overextend a limb or part.
Move a body part away from a center or middle line.
Continue with her normal care.
Wait five minutes an take her vital signs again.
Tell the family that she is dead.
Contact the charge nurse immediately.
Listen and try to comfort him.
Change the subject.
Tell him to go to a counselor.
Tell him to keep his feelings to himself.
Legs or lower part of the body.
The left half fo the body.
All four extremities.
Arms or upper part of the body.
Feeling the forhead.
T98.6, P-60, R-14, BP-120/60
T-102.4, P-100, R-32, BP-180/100
T-99.6, P-80, R-16, BP-132/70
T-97.6, P-82, R-20, BP-110/60
1/3 fo 240 cc.
Keep Mr. Jones NPO.
Record all of the solid foods Mr. Jones eats.
Record all fluid intake and output every shift.
Measure only the first voiding after surgery.
Urine, food eaten, and IV solutions
Urine, emesis, and bleeding
Liquids taken in druing the shift
Bowel movements only
The client states that he is not hungry.
The client requests a dedpan.
The client ahs not voided in eight hours.
The client's eight-hour ouput is 600 cc.