Nurses should observe a variety of factors, including:
1. Vital Signs: These include temperature, pulse, respiration rate, and blood pressure. 2. Physical Appearance: Look for changes in skin color, swelling, or any physical abnormalities. 3. Behavioral Changes: Note any unusual behaviors, changes in mood, or levels of consciousness. 4. Pain Levels: Assess the patient’s pain and its characteristics. 5. Intake and Output: Monitor the patient’s fluid and food intake, as well as urine and stool output.