Rent 9780323028394 | Clinical Nursing Skills and Techniques

Summary Table of Contents

This market-leading text is well known for its reliable, comprehensive coverage of over 200 complete skills. Heavily illustrated, each skill follows the nursing process framework and is presented in an easy-to-follow, two-column format with rationales for each step. This edition retains such popular features as guidelines at the beginning of each chapter, delegation principles for each skill, special considerations for various age groups and care settings, and unexpected outcomes with related nursing interventions. Plus, expanded coverage of cu... MORE

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Supporting the Client Though the Health Care System
Admitting, Transfer, and Discharge	p. 1
Admitting Clients	p. 3
Transferring Clients	p. 10
Discharging Clients	p. 14
Communication	p. 22
Establishing the Nurse-Client Relationship	p. 25
Communicating With the Anxious Client	p. 33
Communicating With the Angry Client	p. 36
Communicating With the Depressed Client	p. 39
Recording and Reporting	p. 44
Giving a Change-of-Shift Report	p. 58
Documenting Nurses' Progress Notes	p. 60
Incident Reporting	p. 64
Safety and Comfort
Safety	p. 68
Fire, Electrical and Radiation Safety	p. 71
Fall Prevention in a Health Care Facility	p. 76
Designing a Restraint-Free Environment	p. 83
Applying Physical Restraints	p. 85
Seizure Precautions	p. 93
Disaster Preparedness	p. 100
Care of the Client After Biological Exposure	p. 109
Care of the Client After Chemical Exposure	p. 115
Care of the Client After Radiation Exposure	p. 121
Comfort	p. 128
Providing Pain Relief	p. 133
Patient-Controlled Analgesia	p. 138
Epidural Anesthesia	p. 144
Local Infusion Pump Analgesia	p. 152
Nonpharmacological Aids to Promote Comfort	p. 154
Palliative Care	p. 166
Supporting Clients and Families in Grief	p. 169
Symptom Management in Palliative Care	p. 174
Care of the Body After Death	p. 180
Infection Control
Medical Asepsis	p. 189
Hand Hygiene	p. 192
Caring for Clients Under Isolation Precautions	p. 196
Sterile Technique	p. 206
Applying and Removing Cap, Mask, and Protective Eyewear	p. 208
Preparing a Sterile Field	p. 212
Sterile Gloving	p. 218
Posture, Mobility, and Ambulation
Body Mechanics, Transfer, and Positioning	p. 224
Maintaining Body Alignment	p. 226
Using Safe and Effective Transfer Techniques	p. 230
Moving and Positioning Clients in Bed	p. 242
Exercise and Ambulation	p. 254
Performing Range-of-Motion Exercises	p. 257
Performing Isometric Exercises	p. 268
Continuous Passive Motion Machine	p. 273
Applying Elastic Stockings and Sequential Compression Device	p. 276
Assisting With Ambulation	p. 283
Orthopedic Measures	p. 301
Assisting With Cast Application	p. 305
Assisting With Cast Removal	p. 313
Care of the Client in Traction	p. 316
Care of the Client in Skeletal Traction and Pin Site Care	p. 326
Care of the Client With Immobilization Devices	p. 335
Support Surfaces and Special Beds	p. 343
Placing a Client on a Support Surface	p. 348
Procedural Guideline: Selection of Pressure-Reducing Support Devices	p. 350
Placing a Client on an Air-Suspension Bed	p. 357
Placing a Client on an Air-Fluidized Bed	p. 361
Placing a Client on a Bariatric Bed	p. 366
Placing a Client on a Rotokinetic Bed	p. 369
Hygiene
Personal Hygiene and Bed Making	p. 375
Bathing and Perineal Care	p. 380
Oral Hygiene	p. 394
Procedural Guideline: Cleaning Dentures	p. 395
Performing Mouth Care for the Unconscious or Debilitated Client	p. 401
Hair Care (Combing and Shaving)	p. 405
Procedural Guideline: Shampooing Hair of Bed-Bound Client	p. 406
Performing Nail and Foot Care	p. 411
Care of the Client's Environment	p. 418
Procedural Guideline: Making an Unoccupied Bed	p. 421
Pressure Ulcer Care	p. 431
Risk Assessment, Skin Assessment, and Prevention Strategies	p. 435
Treatment of Pressure Ulcers	p. 444
Care of Eye and Ear Prostheses	p. 462
Taking Care of Contact Lenses	p. 464
Taking Care of an Artificial Eye	p. 472
Eye Irrigation	p. 477
Taking Care of Hearing Aids	p. 480
Vital Signs and Physical Assessment
Vital Signs	p. 487
Measuring Body Temperature	p. 490
Assessing Radial Pulse	p. 501
Assessing Apical Pulse	p. 506
Procedural Guideline: Assessing Apical-Radial Pulse	p. 511
Assessing Respirations	p. 512
Assessing Arterial Blood Pressure	p. 517
Procedural Guideline: Noninvasive Automatic Blood Pressure Measurement	p. 519
Measuring Oxygen Saturation (Pulse Oximetry)	p. 531
Health History and Physical Examination	p. 539
General Survey	p. 547
Assessing the Thorax and Lungs	p. 558
Assessing the Heart and Neck Vessels	p. 567
Assessing the Abdomen	p. 576
Musculoskeletal, Neurological, and Peripheral Vascular Assessment	p. 585
Assessing Intake and Output	p. 598
Medications
Preparing for Medication Administration	p. 609
Oral and Topical Medications	p. 632
Administering Oral Medications	p. 635
Administering Medications by Nasogastric Tube	p. 642
Administering Skin Applications	p. 647
Administering Eye Medications	p. 653
Administering Ear Drops	p. 659
Administering Ear Irrigations	p. 663
Administering Nasal Instillations	p. 667
Using Metered-Dose Inhalers	p. 670
Using Small-Volume Nebulizers	p. 676
Administering Vaginal Instillations	p. 680
Administering Rectal Suppositories	p. 685
Parenteral Medications	p. 693
Preparing Injections From Ampules and Vials	p. 700
Mixing Parenteral Medications in One Syringe	p. 707
Administering Intradermal Injections	p. 712
Administering Subcutaneous Injections	p. 716
Administering Intramuscular Injections	p. 723
Adding Medications to Intravenous Fluid Containers	p. 731
Administering Intravenous Medications by Intermittent Infusion Sets and Miniinfusion Pumps	p. 736
Administering Medications by Intravenous Bolus	p. 745
Administering Continuous Subcutaneous Medications	p. 752
Oxygenation
Oxygen Therapy	p. 762
Applying a Nasal Cannula or Oxygen Mask	p. 766
Administering Oxygen Therapy to a Client With an Artifical Airway	p. 772
Using Incentive Spirometry	p. 776
Care of the Client Receiving Noninvasive Ventilation	p. 779
Care of the Client on a Mechanical Ventilator	p. 784
Performing Chest Physiotherapy	p. 796
Performing Postural Drainage	p. 799
Using an Acapella Device	p. 806
Performing Percussion, Vibration, and Shaking	p. 808
Airway Management	p. 815
Performing Oropharyngeal Suctioning	p. 818
Airway Suctioning	p. 822
Procedural Guideline: Closed (In-Line) Suction Catheter	p. 833
Performing Endotracheal Tube Care	p. 834
Performing Tracheostomy Care	p. 841
Inflating the Cuff on an Endotracheal or Tracheostomy Tube	p. 848
Closed Chest Drainage Systems	p. 854
Caring for Clients With Chest Tube Connected to Disposable Drainage Systems	p. 858
Assisting With Removal of Chest Tubes	p. 869
Reinfusion of Chest Tube Drainage	p. 872
Emergency Measures for Life Support	p. 877
Inserting an Oropharyngeal Airway	p. 880
Using an Automated External Defibrillator	p. 884
Code Management	p. 888
Fluid Balance
Intravenous and Vascular Access Therapy	p. 898
Initiating Intravenous Therapy	p. 903
Care and Maintenance of a Peripherally Inserted Central Catheter	p. 922
Regulating Intravenous Flow Rate	p. 930
Changing a Peripheral Intravenous Dressing	p. 937
Changing Intravenous Solutions	p. 942
Changing Infusion Tubing	p. 945
Discontinuing Peripheral Intravenous Access	p. 949
Caring for Central Venous Access Devices	p. 951
Blood Therapy	p. 965
Initiating Blood Therapy	p. 970
Monitoring for Adverse Reactions to Transfusion	p. 978
Nutrition
Oral Nutrition	p. 983
Performing Nutritional Screening	p. 993
Assisting the Adult Client With Oral Nutrition	p. 999
Aspiration Precautions	p. 1004
Enteral Nutrition	p. 1012
Intubating the Client With a Nasogastric or Nasointestinal Feeding Tube	p. 1014
Verifying Feeding Tube Placement	p. 1021
Irrigating a Feeding Tube	p. 1025
Administering Enteral Nutrition via a Nasogastric Feeding Tube	p. 1028
Administering Enteral Nutrition via a Gastrostomy or Jejunostomy Tube	p. 1036
Parenteral Nutrition	p. 1045
Caring for the Client Receiving Central Venous Placement for Central Parenteral Nutrition	p. 1049
Caring for the Client Receiving Central Parenteral Nutrition	p. 1057
Caring for the Client Receiving Peripheral Parenteral Nutrition With Lipid (Fat) Emulsion	p. 1061
Elimination
Urinary Elimination	p. 1067
Assisting a Client in Using a Urinal	p. 1070
Inserting a Straight or an Indwelling Catheter	p. 1073
Care and Removal of the Indwelling Catheter	p. 1085
Obtaining Catheterized Specimens for Residual Urine	p. 1089
Performing Catheter Irrigation	p. 1092
Applying a Condom Catheter	p. 1098
Care of a Suprapubic Catheter	p. 1102
Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysis	p. 1106
Bowel Elimination and Gastric Intubation	p. 1116
Assisting the Client in Using a Bedpan	p. 1119
Removing Fecal Impaction Digitally	p. 1126
Administering an Enema	p. 1129
Inserting and Maintaining a Nasogastric Tube for Gastric Decompression	p. 1136
Ostomy Care	p. 1146
Pouching and Enterostomy	p. 1152
Pouching an Incontinent Urinary Diversion	p. 1162
Catheterizing a Urinary Diversion	p. 1167
Maintaining a Continent Diversion	p. 1170
Care of the Surgical Client
Preoperative and Postoperative Care	p. 1178
Preparing the Client for Surgery	p. 1181
Demonstrating Postoperative Exercises	p. 1191
Performing Postoperative Care of the Surgical Client	p. 1200
Intraoperative Care	p. 1215
Surgical Hand Antisepsis	p. 1218
Donning Sterile Gown and Closed Gloving	p. 1222
Dressings and Wound Care
Wound Care and Irrigation	p. 1228
Performing Wound Irrigation	p. 1234
Performing Suture and Staple Removal	p. 1241
Managing Drainage Evacuation	p. 1247
Dressings	p. 1256
Applying a Dressing (Dry or Wet-to-Dry)	p. 1260
Applying a Pressure Bandage	p. 1269
Applying a Transparent Dressing	p. 1273
Applying Hydrocolloid, Hydrogel, Foam, or Absorption Dressings	p. 1276
Wound Vacuum Assisted Closure	p. 1282
Binders and Bandages	p. 1292
Applying Gauze and Elastic Bandages	p. 1295
Applying an Abdominal Binder and a Breast Binder	p. 1301
Warm and Cold Therapy	p. 1036
Application of Moist Heat (Compress and Sitz Bath)	p. 1310
Applying Aquathermia and Heating Pads	p. 1316
Applying Cold Applications	p. 1319
Caring for Clients Requiring Hypothermia or Hyperthermia Blankets	p. 1323
Home Care
Home Care Safety	p. 1329
Modifying Safety Risks in the Home Environment	p. 1332
Adapting the Home Setting for Clients With Cognitive Deficits	p. 1342
Medication and Medical Device Safety	p. 1348
Home Care Teaching	p. 1355
Teaching Clients to Measure Body Temperature	p. 1358
Teaching Clients to Measure Blood Pressure	p. 1362
Teaching Clients to Measure Pulse	p. 1368
Using Home Oxygen Equipment	p. 1371
Teaching Home Tracheostomy Care and Suctioning	p. 1380
Procedural Guideline: Changing Tracheostomy at Home	p. 1387
Teaching Clients Self-Medication Administration	p. 1388
Enteral Nutrition in the Home	p. 1394
Special Procedures
Specimen Collection	p. 1403
Collecting a Midstream (Clean-Voided) Specimen	p. 1406
Collecting a Timed Urine Specimen	p. 1411
Collecting a Sterile Urine Specimen From an Indwelling Catheter	p. 1415
Measuring Chemical Properties of Urine: Glucose, Ketones, Protein, Blood, and pH	p. 1417
Measuring Occult Blood in Stool	p. 1421
Measuring Occult Blood in Gastric Secretions	p. 1425
Collecting Nose and Throat Specimens for Culture	p. 1427
Obtaining Vaginal or Urethral Discharge Specimens	p. 1431
Collecting Sputum Specimens	p. 1435
Obtaining Wound Drainage Specimens	p. 1440
Collecting Blood Specimens and Culture by Venipuncture (Syringe Method and Vacutainer Method)	p. 1443
Measuring Blood Glucose Level After Skin Puncture (Capillary Puncture)	p. 1452
Obtaining an Arterial Specimen for Blood Gas Measurement	p. 1458
Diagnostic Procedures	p. 1467
Intravenous Moderate Sedation During a Diagnostic Procedure	p. 1470
Contrast Media Studies: Angiogram, Cardiac Catheterization, and Intravenous Pyelogram	p. 1474
Assisting With Aspirations: Bone Marrow Aspiration/Biopsy, Lumbar Puncture, Paracentesis, and Thoracentesis	p. 1483
Assisting With Bronchoscopy	p. 1503
Assisting With Endoscopy	p. 1507
Assisting With Cardiogram	p. 1512
Answer Key	p. 1521
Terminology/Combining Forms: Prefixes and Suffixes	p. 1545
Glossary	p. 1549
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