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Delmar’s Fundamental and Advanced Nursing Skills

by: Altman, Gaylene

Delmar’s Fundamental and Advanced Nursing Skills

by: Altman, Gaylene

ISBN 13:
9781401810696
ISBN 10:
1401810691
Edition: 2nd
Format: Paperback
Copyright: 07/29/2003
Publisher: CENGAGE Delmar Learning
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Summary

Focusing on need-to-know information, this fully revised full-color edition equips nurses with the skills they will need to survive and thrive in today's changing health care world. Using a straight-forward approach, organized around the nursing process, the second edition of Delmar's Fundamental & Advanced Nursing Skills, 2E provides a great resource for any nurse from the hospital to the home.

Contributors

Reviewers

xii

Preface

xiii

Acknowledgments

xix

About the Author

Physical Assessment

(142)

Physical Assessment

(27)

Taking a Temperature

(14)

Taking a Pulse

(9)

Counting Respirations

(6)

Taking Blood Pressure

(9)

Weighing a Client, Mobile and Immobile

(7)

Measuring Intake and Output

(7)

Breast Self-Examination

(9)

Male Genitalia, Hernia, and Rectal Examination

(9)

Collecting a Clean-Catch, Midstream Urine Specimen

(7)

Testing Urine for Specific Gravity, Ketones, Glucose, and Occult Blood

106

(8)

Performing a Skin Puncture

114

(6)

Measuring Blood-Glucose Levels

120

(8)

Collecting Nose, Throat, and Sputum Specimens

128

(9)

Testing for Occult Blood with a Hemoccult Slide

137

(6)

Safety and Infection Control

143

(122)

Proper Body Mechanics, Safe Lifting, and Transferring

144

(10)

Assisting with Ambulation and Safe Falling

154

(8)

Applying Restraints

162

(10)

Handwashing

172

(6)

Donning and Removing Clean and Contaminated Gloves, Cap, and Mask

178

(9)

Removing Contaminated Items

187

(8)

Applying Sterile Gloves via the Open Method

195

(7)

Surgical Scrub

202

(7)

Applying Sterile Gloves and Gown via the Closed Method

209

(5)

Emergency Airway Management

214

(7)

Administering Cardiopulmonary Resuscitation (CPR)

221

(16)

Performing the Heimlich Maneuver

237

(11)

Responding to Accidental Poisoning

248

(6)

Emergency Client Transport

254

(11)

Client Care and Comfort

265

(78)

The Effective Communication Process

266

(11)

Guided Imagery

277

(7)

Progressive Muscle Relaxation

284

(7)

Therapeutic Massage

291

(7)

Applying Moist Heat

298

(6)

Warm Soaks and Sitz Baths

304

(6)

Applying Dry Heat

310

(8)

Using a Thermal Blanket and an Infant Radiant Heat Warmer

318

(9)

Applying Cold Treatment

327

(7)

Assisting with a Transcutaneous Electrical Nerve Stimulation (TENS) Unit

334

(9)

Basic Care

343

(206)

Changing Linens in an Unoccupied Bed

344

(9)

Changing Linens in an Occupied Bed

353

(7)

Turning and Positioning a Client

360

(9)

Moving a Client in Bed

369

(8)

Assisting with a Bedpan or Urinal

377

(8)

Assisting with Feeding

385

(7)

Bathing a Client in Bed

392

(8)

Oral Care

400

(11)

Perineal and Genital Care

411

(7)

Eye Care

418

(9)

Hair and Scalp Care

427

(9)

Hand and Foot Care

436

(9)

Shaving a Client

445

(6)

Giving a Back Rub

451

(6)

Changing the IV Gown

457

(6)

Assisting from Bed to Stretcher

463

(7)

Assisting from Bed to Wheelchair, Commode, or Chair

470

(7)

Assisting from Bed to Walking

477

(7)

Using a Hydraulic Lift

484

(7)

Administering Preoperative Care

491

(9)

Preparing a Surgical Site

500

(10)

Assessing Immediate Postoperative Care

510

(10)

Postoperative Exercise Instruction

520

(9)

Administering Passive Range of Motion (ROM) Exercises

529

(13)

Postmortem Care

542

(7)

Medication Administration

549

(164)

Administering Oral, Sublingual, and Buccal Medications

550

(9)

Administering Eye and Ear Medications

559

(10)

Administering Skin/Topical Medications

569

(7)

Administering Nasal Medications

576

(7)

Administering Rectal Medications

583

(7)

Administering Vaginal Medications

590

(7)

Administering Nebulized Medications

597

(9)

Administering an Intradermal Injection

606

(6)

Administering a Subcutaneous Injection

612

(7)

Administering an Intramuscular Injection

619

(8)

Administering Medication via Z-Track Injection

627

(7)

Withdrawing Medication from a Vial

634

(6)

Withdrawing Medication from an Ampule

640

(7)

Mixing Medications from Two Vials into One Syringe

647

(9)

Preparing an IV Solution

656

(6)

Adding Medications to an IV Solution

662

(6)

Administering Medications via Secondary Administration Sets (Piggyback)

668

(7)

Administering Medications via IV Bolus or IV Push

675

(6)

Administering Medications via Volume-Control Sets

681

(6)

Administering Medication via a Cartridge System

687

(5)

Administering Patient-Controlled Analgesia (PCA)

692

(7)

Administering Epidural Analgesia

699

(7)

Managing Controlled Substances

706

(7)

Nutrition and Elimination

713

(168)

Inserting and Maintaining a Nasogastric Tube

714

(9)

Assessing Placement of a Large-Bore Feeding Tube

723

(7)

Assessing Placement of a Small-Bore Feeding Tube

730

(6)

Removing a Nasogastric Tube

736

(6)

Feeding and Medicating via a Gastrostomy Tube

742

(9)

Maintaining Gastrointestinal Suction Devices

751

(6)

Applying a Condom Catheter

757

(7)

Inserting an Indwelling Catheter: Male

764

(9)

Inserting an Indwelling Catheter: Female

773

(8)

Routine Catheter Care

781

(5)

Obtaining a Residual Urine Specimen from an Indwelling Catheter

786

(5)

Irrigating a Urinary Catheter

791

(8)

Irrigating the Bladder Using a Closed-System Catheter

799

(8)

Removing an Indwelling Catheter

807

(6)

Catheterizing a Noncontinent Urinary Diversion

813

(7)

Maintaining a Continent Urinary Diversion

820

(7)

Pouching a Noncontinent Urinary Diversion

827

(6)

Administering Peritoneal Dialysis

833

(8)

Administering an Enema

841

(14)

Digital Removal of Fecal Impaction

855

(7)

Inserting a Rectal Tube

862

(6)

Irrigating and Cleaning a Stoma

868

(6)

Changing a Bowel Diversion Ostomy Appliance: Pouching a Stoma

874

(7)

Oxygenation

881

(144)

Administering Oxygen Therapy

882

(9)

Assisting a Client with Controlled Coughing and Deep Breathing

891

(6)

Assisting a Client with an Incentive Spirometer

897

(5)

Administering Pulmonary Therapy and Postural Drainage

902

(5)

Administering Pulse Oximetry

907

(7)

Measuring Peak Expiratory Flow Rates

914

(8)

Administering Intermittent Positive-Pressure Breathing (IPPB)

922

(6)

Assisting with Continuous Positive Airway Pressure (CPAP)

928

(6)

Preparing the Chest Drainage System

934

(11)

Maintaining the Chest Tube and Chest Drainage System

945

(8)

Measuring the Output from a Chest Drainage System

953

(5)

Obtaining a Specimen from a Chest Drainage System

958

(5)

Removing a Chest Tube

963

(6)

Ventilating the Client with an Ambu-Bag®

969

(8)

Inserting the Pharyngeal Airway

977

(6)

Maintaining Mechanical Ventilation

983

(7)

Suctioning Endotracheal and Tracheal Tubes

990

(8)

Maintaining and Cleaning Endotracheal Tubes

998

(7)

Maintaining and Cleaning the Tracheostomy Tube

1005

(7)

Maintaining a Double Cannula Tracheostomy Tube

1012

(8)

Plugging the Tracheostomy Tube

1020

(5)

Circulatory

1025

(184)

Performing Venipuncture (Blood Drawing)

1026

(9)

Starting an IV

1035

(9)

Inserting a Butterfly Needle

1044

(8)

Preparing the IV Bag and Tubing

1052

(6)

Setting the IV Flow Rate

1058

(7)

Assessing and Maintaining an IV Insertion Site

1065

(6)

Changing the IV Solution

1071

(6)

Discontinuing the IV and Changing to a Saline or Heparin Lock

1077

(8)

Administering a Blood Transfusion

1085

(9)

Assessing and Responding to Transfusion Reactions

1094

(7)

Assisting with the Insertion of a Central Venous Catheter

1101

(7)

Changing the Central Venous Dressing

1108

(6)

Changing the Central Venous Tubing

1114

(6)

Flushing a Central Venous Catheter

1120

(6)

Measuring Central Venous Pressure (CVP)

1126

(8)

Drawing Blood from a Central Venous Catheter

1134

(7)

Infusing Total Parenteral Nutrition (TPN) and Fat Emulsion Through a Central Venous Catheter

1141

(10)

Removing the Central Venous Catheter

1151

(5)

Inserting a Peripherally Inserted Central Catheter (PICC)

1156

(10)

Administering Peripheral Vein Total Parenteral Nutrition

1166

(8)

Hemodialysis Site Care

1174

(7)

Using an Implantable Venous Access Device

1181

(7)

Caring for an Implanted Venous Access Device

1188

(6)

Obtaining an Arterial Blood Gas Specimen

1194

(7)

Assisting with the Insertion and Maintenance of an Epidural Catheter

1201

(8)

Skin Integrity and Wound Care

1209

(130)

Bandaging

1210

(8)

Applying a Dry Dressing

1218

(7)

Applying a Wet to Damp Dressing (Wet to Dry to Moist Dressing)

1225

(8)

Applying a Transparent Dressing

1233

(6)

Applying a Pressure Bandage

1239

(7)

Changing Dressing Around Therapeutic Puncture Sites

1246

(10)

Irrigating a Wound

1256

(6)

Packing a Wound

1262

(9)

Cleaning and Dressing a Wound with an Open Drain

1271

(8)

Dressing a Wound with Retention Sutures

1279

(8)

Obtaining a Wound Drainage Specimen for Culturing

1287

(6)

Maintaining a Closed Wound Drainage System

1293

(6)

Care of the Jackson-Pratt (JP) Drain Site and Emptying the Drain Bulb

1299

(8)

Removing Skin Sutures and Staples

1307

(7)

Preventing and Managing the Pressure Ulcer

1314

(11)

Managing Irritated Peristomal Skin

1325

(7)

Applying a Pouch to a Draining Wound

1332

(7)

Immobilization and Support

1339

(104)

Applying an Elastic Bandage

1340

(7)

Applying a Splint

1347

(7)

Applying an Arm Sling

1354

(6)

Applying Antiembolic Stockings

1360

(6)

Applying a Pneumatic Compression Device

1366

(7)

Applying Abdominal, T-, or Breast Binders

1373

(8)

Applying Skin Traction---Adhesive and Nonadhesive

1381

(8)

Maintaining and Monitoring Skeletal Traction

1389

(6)

External Fixation or Skeletal Traction Pin Care

1395

(5)

Assisting with Casting---Plaster and Fiberglass

1400

(7)

Cast Care and Comfort

1407

(7)

Cast Bivalving and Windowing

1414

(6)

Cast Removal

1420

(5)

Assisting with a Continuous Passive Motion Device

1425

(6)

Assisting with Crutches, Cane, or Walker

1431

(12)

Special Procedures

1443

Administering an Electrocardiogram

1444

(7)

Magnetic Resonance Imaging (MRI)

1451

(5)

Assisting with Computed Tomography (CT) Scanning

1456

(5)

Assisting with a Liver Biopsy

1461

(8)

Assisting with a Thoracentesis

1469

(8)

Assisting with Abdominal Paracentesis

1477

(7)

Assisting with a Bone Marrow Biopsy/Aspiration

1484

(7)

Assisting with a Lumbar Puncture

1491

(8)

Assisting with Amniocentesis

1499

(7)

Assisting with Bronchoscopy

1506

(11)

Assisting with Gastrointestinal Endoscopy

1517

(11)

Assisting with a Proctosigmoidoscopy

1528

(6)

Assisting with Arteriography

1534

(8)

Positron-Emission Tomography Scanning

1542

References

(1)

Index

Amazon no longer offers textbook rentals. We do!

Delmar’s Fundamental and Advanced Nursing Skills

Delmar’s Fundamental and Advanced Nursing Skills

9781401810696

1401810691

Summary

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Delmar’s Fundamental and Advanced Nursing Skills

Delmar’s Fundamental and Advanced Nursing Skills

9781401810696

1401810691

Summary

Table of Contents

Supplemental Materials

Write a Review

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