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Clinical Nursing Skills and Techniques

ISBN: 9780815143055 | 0815143052
Edition: 4th
Format: Paperback
Publisher: Elsevier Science Health Science div
Pub. Date: 1/1/1998

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Table of Contents
UNIT I Supporting the Client Through the Health Care System1(63)
Admitting, Transfer, and Discharge
3(21)
Mary Kay Knight Macheca
... MORE5(8)
Transferring Clients
13(3)
Discharging Clients
16(8)
Communication
24(18)
Gina Bufe
Jacqueline A. Raybuck
Establishing Therapeutic Communication
26(6)
Establishing Communication Throughout the Phases of the Nurse-Client Relationship
32(3)
Communication with the Anxious Client
35(3)
Verbally Deescalating the Potentially Violent Client
38(4)
Recording and Reporting
42(21)
Rick Daniels
Giving a Change-of-Shift Report
54(2)
Documenting Nurses's Progress Notes
56(4)
Incident Reporting
60(3)
UNIT II Safety and Comfort63(64)
Safety
65(24)
Kathleen Mulryan
Fall Prevention
66(8)
Designing a Restraint-Free Environment
74(4)
Applying Restraints
78(6)
Seizure Precautions
84(5)
Comfort
89(38)
Victoria M. Brown
Removing Painful Stimuli
93(6)
Nonpharmacological Aids to Promote Comfort
99(10)
Patient-Controlled Analgesia
109(7)
Epidural Analgesia
116(11)
UNIT III Hygiene127(108)
Bathing and Skin Care
129(43)
Anne Griffin Perry
Bathing a Client
133(9)
Providing Perineal Care
142(4)
Brushing Teeth
146(4)
Performing Mouth Care for the Unconscious or Debilitated Client
150(4)
Cleaning Dentures
154(3)
Shampooing the Hair of a Bedridden Client
157(4)
Shaving a Client
161(4)
Performing Nail and Foot Care
165(7)
Care of the Client's Environment
172(17)
Anne Griffin Perry
Making an Unoccupied Bed
176(7)
Making an Occupied Bed
183(6)
Pressure Ulcer Care
189(28)
Elizabeth A. Ayello
Risk Assessment and Prevention Strategies
192(7)
Treatment of Pressure Ulcers
199(18)
Care of Eye and Ear Prostheses
217(18)
Elaine K. Neel
Taking Care of Contact Lenses
218(8)
Taking Care of an Artificial Eye
226(4)
Taking Care of an In-the-Ear Hearing Aid
230(5)
UNIT IV Vital Signs and Physical Assessment235(186)
Vital Signs
237(43)
Susan Jane Fetzer
Measuring Body Temperature
239(14)
Assessing Apical Pulse
253(4)
Assessing Radial Pulse
257(4)
Assessing Arterial Blood Pressure
261(9)
Assessing Respirations
270(5)
Measuring Oxygen Saturation (Pulse Oximetry)
275(5)
Physical Examination and Health Assessment
280(141)
Patricia A. Potter
Performing a General Survey
288(8)
Assessing the Skin
296(6)
Assessing the Hair and Scalp
302(3)
Assessing the Nails
305(4)
Assessing the Eyes
309(10)
Assessing the Ears
319(7)
Assessing the Nose and Sinuses
326(3)
Assessing the Mouth and Pharynx
329(6)
Assessing the Structures of the Neck
335(6)
Assessing the Thorax and Lungs
341(9)
Assessing the Heart and Vascular System
350(15)
Assessing the Breasts
365(8)
Assessing the Abdomen
373(8)
Assessing the Female Genitalia
381(10)
Assessing the Male Genitalia
391(6)
Assessing the Rectum and Anus
397(4)
Assessing the Musculoskeletal System
401(6)
Assessing the Neurological System
407(14)
UNIT V Oxygenation421(130)
Oxygen Therapy
422(25)
Pamela Becker Weilitz
Applying a Nasal Cannula or Oxygen Mask
425(6)
Administering Oxygen Therapy to a Client with an Artificial Airway
431(3)
Using Incentive Spirometry
434(3)
Administering Mechanical Ventilation
437(7)
Measuring Peak Expiratory Flow Rates
444(3)
Performing Chest Physiotherapy
447(17)
Jill Malen
Performing Postural Drainage
449(9)
Performing Percussion, Vibration, and Rib Shaking
458(6)
Airway Maintenance
464(42)
Patricia A. Dettenmeier
Performing Oral Pharyngeal (Yankauer) Suctioning
465(5)
Performing Nasal Pharyngeal and Nasal Tracheal Suctioning
470(9)
Performing Endotracheal or Tracheostomy Tube Suctioning
479(6)
Performing Endotracheal or Tracheostomy Tube Suctioning Using a Closed System (In-Line) Catheter
485(5)
Performing Endotracheal Tube Care
490(6)
Performing Tracheostomy Care
496(5)
Inflating the Cuff on an Endotracheal or Tracheostomy Tube
501(5)
Closed Chest Drainage Systems
506(19)
April Sieh
Caring for Clients with Chest Tube Connected to Disposable Drainage Systems
510(9)
Removing Chest Tubes
519(2)
Postoperative Autotransfusion
521(4)
Emergency Measures for Life Support
525(26)
Sharon Souter
Removing a Foreign Body Airway Obstruction
526(7)
Inserting a Nasal Airway
533(3)
Inserting an Oropharyngeal Airway
536(3)
Using an Ambu-bag
539(4)
Performing Cardiopulmonary Resuscitation
543(8)
UNIT VI Medications551(100)
Preparing for Medication Administration
552(13)
Carl Kirton
Oral and Topical Medications
565(43)
Carl Kirton
Administering Oral Medications
567(6)
Administering Medications by Nasogastric Tube
573(4)
Administering Skin Applications
577(5)
Administering Eye Medications
582(5)
Administering Ear Drops
587(3)
Administering Ear Irrigations
590(3)
Administering Nasal Instillations
593(3)
Using Metered-Dose Inhalers
596(5)
Administering Vaginal Instillations
601(3)
Administering Rectal Suppositories
604(4)
Parenteral Medications
608(43)
Carl Kirton
Preparing Injections from Ampules and Vials
613(4)
Mixing Medications from Two Vials
617(4)
Administering Intradermal Injections
621(3)
Administering Subcutaneous Injections
624(4)
Administering Intramuscular Injections
628(7)
Adding Medications to Intravenous Fluid Containers
635(5)
Administering Intravenous Medications by Intermittent Infusion Sets and Miniinfusion Pumps
640(6)
Administering Medications by Intravenous Bolus
646(5)
UNIT VII Fluid Balance651(75)
Intravenous and Vascular Access Therapy
652(57)
Sandra Ann Szekely
Initiating Intravenous Therapy
656(14)
Inserting a Peripherally Inserted Central Catheter
670(9)
Regulating Intravenous Flow Rate
679(6)
Changing Intravenous Solutions
685(3)
Changing Infusion Tubing
688(3)
Changing a Peripheral Intravenous Dressing
691(5)
Caring for Vascular Access Devices
696(10)
Discontinuing Peripheral Intravenous Access
706(3)
Blood Therapy
709(17)
Anne Falsone Vaughan
Initiating Blood Therapy
712(7)
Assisting with Autologous Blood Transfusion
719(3)
Monitoring for Transfusion Reactions
722(4)
UNIT VIII Nutrition726(53)
Oral Nutrition
727(18)
Marsha Evans Orr
Performing Nutritional Assessment
728(10)
Assisting the Adult Client with Oral Nutrition
738(4)
Aspiration Precautions
742(3)
Enteral Nutrition
745(21)
Marsha Evans Orr
Intubating the Client with a Small-Bore Nasogastric or Nasointestinal Feeding Tube
746(5)
Verifying Tube Placement for a Large-Bore or Small-Bore Feeding Tube
751(2)
Administering Enteral Feedings via Nasogastic Tube (Large- or Small Bore)
753(5)
Administering Enteral Feedings via Gastrostomy Tube
758(4)
Administering Enteral Feedings via Nasointestinal Tube or Jejunostomy Tube
762(4)
Parenteral Nutrition
766(13)
Marsha Evans Orr
Caring for the Client Receiving Central Venous Placement for Central Parenteral Nutrition
768(4)
Caring for the Client Receiving Central Parenteral Nutrition (CPN)
772(3)
Caring for the Client Receiving Peripheral Parenteral Nutrition with Lipid (Fat) Emulsion
775(4)
UNIT IX Elimination779(97)
Urinary Elimination
780(48)
Ruth E. Ludwick
Measuring and Recording Intake and Output
782(5)
Assisting a Client to use a Urinal
787(3)
Inserting a Straight or Indwelling Catheter
790(9)
Care of the Indwelling Catheter
799(3)
Obtaining Catheterized Specimens for Residual Urine
802(3)
Performing Catheter Irrigation
805(5)
Removing a Retention Catheter
810(3)
Applying a Condom Catheter
813(3)
Care of a Suprapubic Catheter
816(4)
Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysis
820(8)
Bowel Elimination
828(17)
Anne Griffin Perry
Assisting the Client to Use a Bedpan
829(5)
Inserting a Rectal Tube
834(2)
Removing Fecal Impaction Digitally
836(3)
Administering an Enema
839(6)
Ostomy Care
845(31)
Elizabeth A. Ayello
Pouching and Enterostomy
848(9)
Irrigating a Colostomy
857(4)
Pouching a Noncontinent Urinary Diversion
861(5)
Catheterizing a Noncontinent Urinary Diversion
866(3)
Maintaining a Continent Diversion
869(7)
UNIT X Posture, Mobility, and Ambulation876(112)
Body Alignment and Mechanics
877(8)
Sheila A. Cunningham
Maintaining Body Alignment
878(4)
Performing Safe and Efficient Lifting Techniques
882(3)
Transfer and Positioning
885(19)
Sheila A. Cunningham
Using Safe and Effective Transfer Techniques
886(9)
Moving and Positioning Clients in Bed
895(9)
Exercise and Ambulation
904(37)
Victoria M. Brown
Performing Range-of-Motion Exercises
906(11)
Performing Isometric Exercises
917(4)
Applying Elastic Stockings
921(5)
Changing Client's Position to Minimize Occurrence of Orthostatic Hypotension
926(3)
Assisting with Ambulation
929(12)
Orthopedic Measures
941(30)
Wanda Cleveland Dubuisson
Assisting with Cast Application
944(6)
Assisting with Cast Removal
950(4)
Assisting with Application of Skin Traction
954(9)
Assisting with Insertion of Pins, Wires, or Nails for Skeletal Traction
963(8)
Support Surfaces and Special Beds
971(17)
Marilee Kuhrik
Nancy S. Kuhrik
Placing a Client on a Support Surface Mattress
973(5)
Placing a Client on an Air-Suspension Bed
978(3)
Placing a Client on an Air-Fluidized
981(4)
Placing a Client on a Bariatric Bed
985(3)
UNIT XI Infection Control988(31)
Medical Asepsis
989(15)
Mary Dee Miller
Hand Washing
991(4)
Caring for Clients under Isolation Precautions
995(9)
Sterile Technique
1004(15)
Mary Dee Miller
Donning and Removing Cap and Mask
1005(3)
Preparing a Sterile Field
1008(5)
Open Gloving
1013(6)
UNIT XII Care of the Surgical Client1019(48)
Preoperative and Postoperative Care
1020(36)
Carolyn Ruppel d'Avis
Preparing the Client for Surgery
1021(6)
Demonstrating Postoperative Exercises
1027(6)
Preparing the Surgical Site
1033(5)
Inserting and Maintaining the Nasogastric Tube
1038(18)
Intraoperative Care
1056(11)
Linette M. Sarti
Surgical Hand Washing
1058(4)
Donning a Sterile Gown and Gloves (Closed Gloving)
1062(5)
UNIT XIII Dressings and Wound Care1067(88)
Dressings
1068(32)
Elizabeth A. Ayello
Applying a Dry Dressing
1071(5)
Applying a Wet-to-Dry Dressing
1076(5)
Applying a Pressure Bandage
1081(3)
Applying a Transparent Dressing
1084(3)
Applying a Hydrocolloid or Hydrogel Dressing
1087(5)
Applying a Foam Dressing
1092(4)
Applying Absorption and Alginate Dressings
1096(4)
Binders and Bandages
1100(13)
Deborah Oldenburg Erickson
Applying an Elastic Bandage
1103(4)
Applying an Abdominal Binder, T-Binder, or Breast Binder
1107(6)
Hot and Cold Therapy
1113(20)
Sharon Phelps
Applying a Moist Hot Compress to an Open Wound
1116(3)
Assisting with Warm Soaks and Sitz Baths
1119(4)
Applying Aquathermia and Heating Pads
1123(2)
Applying Cold Applications
1125(4)
Caring for Clients Requiring Hypothermia or Hyperthermia Blanket
1129(4)
Wound Care and Irrigations
1133(22)
Elizabeth A. Ayello
Performing Wound Irrigation
1137(5)
Performing Suture and Staple Removal
1142(6)
Performing Drainage Evacuation
1148(7)
UNIT XIV Home Care1155(52)
Home Care Safety
1156(19)
Patricia A. Potter
Modifying Safety Risks in the Home Environment
1157(9)
Adapting the Home Setting for Clients with Cognitive Deficits
1166(4)
Medication and Medical Device Safety
1170(5)
Home Care Teaching
1175(32)
Louise K. Leitao
Diane M. Kyle
Teaching Clients to Measure Body Temperature, Blood Pressure and Pulse
1176(10)
Using Home Oxygen Equipment
1186(5)
Teaching Home Tracheostomy Care and Suctioning
1191(6)
Helping Clients with Self-Medication
1197(5)
Enteral Nutrition in the Home
1202(5)
UNIT XV Special Procedures1207(113)
Specimen Collection
1208(60)
Linda Fasciani
Collecting a Midstream (Clean-Voided) Urine Specimen
1210(5)
Collecting a Timed Urine Specimen
1215(3)
Collecting a Sterile Urine Specimen from an Indwelling Catheter
1218(3)
Measuring Specific Gravity of Urine
1221(2)
Measuring Chemical Properties of Urine: Glucose, Ketones, Protein, Blood, and pH
1223(5)
Measuring Occult Blood in Stool
1228(3)
Collecting Nose and Throat Specimens for Culture
1231(5)
Obtaining Vaginal or Urethral Discharge Specimens
1236(3)
Collecting Sputum Specimens
1239(5)
Obtaining Gastric Specimens
1244(3)
Obtaining Wound Drainage Specimens
1247(3)
Collecting Blood Specimens by Venipuncture
1250(7)
Measuring Blood Glucose Level after Skin Puncture
1257(5)
Measuring Arterial Blood Gases
1262(6)
Diagnostic Procedures
1268(44)
Marilee Kuhrik
Nancy S. Kuhrik
Assisting with Abdominal Paracentesis
1270(5)
Assisting with Angiography (Arteriography)
1275(7)
Assisting with Bone Marrow Aspiration/Biopsy
1282(4)
Assisting with Bronchoscopy
1286(4)
Assisting with Electrocardiogram
1290(2)
Assisting with Endoscopy
1292(5)
Assisting with Lumbar Puncture
1297(5)
Assisting with Magnetic Resonance Imaging
1302(4)
Assisting with Thoracentesis
1306(6)
Care After Death
1312(8)
Peggy Breckinridge
Care of the Body After Death
1315(5)
Glossary1320

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