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Clinical Nursing Skills : Basic to Advanced Skills

by: Smith, Sandra F., Rn; Duell, Donna J., Rn; Martin, Barbara C., Rn

Clinical Nursing Skills : Basic to Advanced Skills

by: Smith, Sandra F., Rn; Duell, Donna J., Rn; Martin, Barbara C., Rn

ISBN 13:
9780838513897
ISBN 10:
0838513891
Edition: 4th
Format: Paperback
Copyright: 02/01/1996
Publisher: Appleton & Lange
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Summary

The fourth edition of this popular text features over 550 basic, intermediate, and advanced skills. Step-by-step instructions for each skill are presented in vivid detail. Full-color photos and illustrations complement the text throughout. An updated overview of principles and concepts is included in each chapter, with assessment, planning, intervention, and evaluation objectives.

Preface

xxiii

(2)

Acknowledgments

xxv

CHAPTER 1. PROFESSIONAL NURSING

(16)

Professional Role

(2)

American Nurses Association Code for Nurses

(1)

Assuming the Client Role

(1)

Assuming the Nursing Role

(1)

Legal Aspects

(2)

The Nurse Practice Act

(1)

Nurse Licensure

(1)

Standards of Nursing Practice

(1)

Liability and Legal Issues

(1)

Drugs and the Nurse

(1)

Negligence Malpractice

(1)

Client Rights

(2)

Consent to Receive Health Services

(1)

Clients `Rights

(1)

Advanced Directives

(1)

Clinical Practice

(3)

Guidelines for Clinical Practice

(1)

Providing Client Care

(1)

Client's Records

(1)

Client's Chart

(1)

Communicating with the Client

(1)

Basic Nursing Assessment

(1)

Medical Asepsis Principles

(1)

Hand Washing

(1)

Protocol for Procedures

(5)

CHAPTER 2. NURSING PROCESS

(8)

Nursing Process

(2)

Assessment

(1)

Nursing Diagnosis

(1)

Planning

(1)

Implementation

(1)

Evaluation

(1)

Critical Thinking

(1)

Assessment

(1)

Nursing Diagnosis

(1)

Planning

(1)

Implementation

(1)

Evaluation

(1)

Nursing Diagnosis

(4)

Diagnostic Statements

(3)

CHAPTER 3. CLIENT CARE MANAGEMENT

(12)

Care Plans

(5)

Format

(1)

Types

(1)

Individualizing Care Plans

(1)

Initiating the Plans

(1)

Client Problems or Needs

(1)

Nursing Diagnosis

(1)

Expected Outcomes or Goals

(1)

Interventions

(1)

Checkpoints and Deadlines

(1)

Short-and Long-Term Goals

(1)

Updating Care Plans

(1)

Activating Care Plans

(1)

Inactivating Care Plans

(1)

Communication

(4)

Documentation

(1)

Care Plans

(2)

Careplan Formats

(1)

Report

(1)

Care Conferences

(1)

Delegating Client Care

(1)

General Principles of Delegation

(1)

Client Acuity Systems

(1)

Evaluation

(1)

Student Clinical Planning

(2)

Preclinical Planning

(1)

Time Management

(1)

CHAPTER 4. DOCUMENTATION

(26)

Charting

(18)

Charting-A Method of Communication

(2)

The Charting Process

(1)

Charting for Potential Legal Problems

(1)

Charting and the Nursing Process

(1)

Charting Systems

(2)

Computer-Assisted Charting

(2)

Minimizing Legal Risks of Computer Charting

(1)

Reporting

(1)

Intrashift Reports

(1)

Intershift Reports

(1)

Physician Notification

(1)

Nurse Manager

(1)

Documentation

(6)

Unusual Occurrence, or Incident Report

(1)

Consent Forms

(6)

CHAPTER 5. COMMUNICATION AND THE NURSE-CLIENT RELATIONSHIP

(14)

Communication

(1)

Therapeutic Communication Techniques

(1)

Blocks to Communication

(1)

Relationship Therapy

(2)

Relationship Principles

(1)

Phases in Nurse-Client Relationship Therapy

(1)

Unit One Therapeutic Communication

(3)

Introducing Yourself to a Client

(1)

Beginning a Client Interaction

(1)

Assisting a Client to Describe Personal Experiences

(1)

Encouraging a Client to Express Needs, Feelings, and Thoughts

(1)

Using Communication to Increase the Client's Sense of Self-Worth

(1)

Unit Two Nurse-Client Relationship

(4)

Initiating a Nurse-Client Relationship

(1)

Facilitating a Nurse-Client Relationship

(1)

Terminating a Nurse-Client Relationship

(3)

CHAPTER 6. STRESS, HOLISTIC HEALTH, AND ALTERNATIVE TREATMENT METHODS

(18)

Stress

(5)

The Effect of Stress

(1)

Individual Responses to Stress

(1)

Stress and Disease

(2)

A New Paradigm for Health

(1)

A Holistic Approach to Health

(1)

Alternative Medicine

(4)

Alternative Treatment Methods

(4)

Unit One Stress and Adaptation

(6)

Determining the Effect of Stress

(1)

Determining Response Patterns

(1)

Managing Stress

(1)

Manipulating the Environment to Reduce Stress

(1)

Teaching Coping Strategies

(1)

Managing Stress Using a Holistic Model

(1)

Alleviating Stress Using Controlled Breathing

(1)

Alleviating Stress Using Body Relaxation

(1)

Alleviating Stress Using Meditation

(2)

CHAPTER 7. ADMISSION AND DISCHARGE

(20)

Admission, Transfer, and Discharge

(4)

Admission to the Hospital

(1)

Admission to the Nursing Unit

(3)

Transfer from Unit to Unit

100

(1)

Discharge from a Unit

100

(1)

Unit One Admission and Transfer

101

(6)

Admitting a Client

101

(4)

Transferring a Client

105

(2)

Unit Two Height and Weight

107

(3)

Obtaining Height and Weight

107

(3)

Unit Three Discharge

110

(5)

Discharging a Client

110

(1)

Discharging a Client against Medical Advice (AMA)

111

(4)

CHAPTER 8. SAFE CLIENT ENVIRONMENT

115

(24)

Orientation to the Client Environment

116

(1)

Maintaining Homeostasis

116

(1)

Characteristics that Influence Adaptation

117

(1)

Age

117

(1)

Level of Consciousness

117

(1)

States of Illness

118

(1)

Physical and Biologic Dimensions

118

(4)

Adequate Space

118

(1)

Natural and Artificial Light

119

(1)

Humidity and Temperature

119

(1)

Ventilation

119

(1)

Comfortable Sound Levels

119

(1)

Furniture and Clean Surfaces

120

(1)

Food and Water

121

(1)

Waste Disposal

121

(1)

Sociocultural Dimensions

122

(1)

Organization of Time

122

(1)

Privacy

122

(1)

Individualized Care

123

(1)

Information and Teaching

123

(1)

Unit One A Safe Environment

123

(9)

A Safe Environment

124

(1)

Safety Precautions

124

(1)

Guidelines for the Use of Restraints

125

(3)

Preventing Mechanical Injuries

128

(1)

Preventing Thermal Injuries

128

(1)

Providing Safety for Clients during a Fire

129

(1)

Providing Safety for Clients Receiving Radioactive Material

130

(2)

Unit Two Restraints

132

(7)

Using Wrist Restraints

132

(1)

Using Mitt Restraints

133

(1)

Using Elbow Restraints

134

(1)

Applying a Safety Belt

134

(1)

Applying a Chest Restraints

135

(1)

Applying Mummy Restraints

136

(3)

CHAPTER 9. BATHING AND BEDMAKING

139

(32)

Basic Health Care

142

(3)

Types of Beds

142

(1)

Bathing

142

(1)

Skin Problems

143

(2)

Unit One Bedmaking

145

(8)

Folding a Mitered Corner

145

(1)

Changing a Pillowcase

146

(1)

Making and Unoccupied Bed

146

(2)

Making a Surgical Bed

148

(1)

Changing an Occupied Bed

149

(4)

Unit Two Bath Care

153

(9)

Folding a Washcloth Mitt

154

(1)

Providing Morning Care

154

(1)

Bathing an Adult Client

155

(3)

Bathing an Infant

158

(1)

Bathing with a Hydraulic Bathtub Chair

159

(1)

Bathing the Critically III

160

(2)

Unit Three Skin Integrity

162

(4)

Monitoring Skin Condition

162

(1)

Preventing Skin Breakdown

163

(3)

Unit Four Evening Care

166

(5)

Providing Evening Care

166

(1)

Providing Back Care

167

(4)

CHAPTER 10. PERSONAL HYGIENE

171

(32)

Hygienic Care

173

(2)

Oral Hygiene

173

(1)

Hair Care

173

(1)

Foot Care

174

(1)

Perineal and Genital Care

174

(1)

Unit One Oral Hygiene

175

(6)

Providing Oral Hygiene

175

Flossing Client's Teeth

177

(1)

Providing Denture Care

177

(1)

Providing Oral Care for Unconscious Clients

178

(3)

Unit Two Hair Care

181

(5)

Providing Hair Care

182

(1)

for Routine Hair Care

182

(1)

for Tangled Hair

182

(1)

for Coarse or Curly Hair

182

(1)

Shampooing Hair

182

(1)

for Client in a Chair

182

(1)

for Client on a Gurney

183

(1)

for Client on Bed Rest

183

(1)

Braiding Hair

183

(1)

Providing Hair Care for Breads and Mustaches

184

(1)

Shaving a Client

184

(2)

Unit Three Pediculosis

186

(2)

Removing Lice

186

(2)

Unit Four Foot Care

188

(3)

Providing Foot Care

188

(1)

Providing Nail Care

189

(2)

Unit Five Bedpan and Urinal

191

(3)

Using Bedpan and Urinal

191

(1)

Assisting Client to Commode

191

(3)

Unit Six Perineal and Genital Care

194

(4)

Draping a Female Client

194

(1)

Providing Female Perineal Care

195

(1)

Administering a Vaginal Irrigation

196

(1)

Providing Male Perineal Care

196

(2)

Unit Seven Eye and Ear Care

198

(5)

Providing Routine Eye Care

198

(1)

Providing Eye Care for Comatose Client

199

(1)

Providing Eye Care for Client with Glasses

199

(1)

Providing Eye Care for Client with Artificial Eye

199

(1)

Providing Eye Care for Client with Hard Contact Lenses

200

(1)

Providing Eye Care for Client with Soft Contact Lenses

201

(1)

Providing Ear Care for Client with Hearing Aid

201

(2)

CHAPTER 11. VITAL SIGNS

203

(36)

Vital Signs

205

(1)

Temperature

206

(1)

Regulatory Mechanisms

206

(1)

Measuring Body Temperature

207

(1)

Pulse

207

(1)

Circulatory System Control

207

(1)

Heart Rate and Rhythm

207

(1)

Evaluating Pulse Quality

208

(1)

Respiration

208

(1)

Evaluation Respiratory Rate

208

(1)

Blood Pressure

209

(3)

Unit One Temperature

212

(6)

Taking an Oral Temperature

213

(1)

Taking a Rectal Temperature

214

(1)

Taking an Axillary Temperature

214

(1)

Using an Electronic Thermometer

215

(1)

Using an Infrared Thermometer for Ear Canal Temperature

216

(1)

Using a Chemical Strip Tape

216

(2)

Unit Two Pulse Rate

218

(8)

Taking a Radial Pulse

218

(2)

Taking an Apical Pulse

220

(1)

Taking an Apical-Radial Pulse

221

(1)

Taking a Peripheral Pulse

221

(1)

Monitoring Peripheral Pulses with Doppler Ultrasound Stethoscope

222

(4)

Unit Three Respirations

226

(3)

Obtaining the Respiratory Rate

226

(3)

Unit Four Blood Pressure

229

(10)

Taking a Blood Pressure

229

(3)

Palpating Systolic Arterial Blood Pressure

232

(1)

Measuring Leg Blood Pressure

232

(1)

Measuring Blood Pressure by Flush Method in Small Infant

233

(1)

Using a Continuous Noninvasive Monitoring Device

234

(5)

CHAPTER 12. BODY MECHANICS AND POSITIONING

239

(22)

Musculoskeletal System

241

(2)

Skeletal Muscles

241

(1)

Joints

241

(1)

Bones

241

(1)

System Alterations

241

(1)

Nursing Measures

242

(1)

Body Mechanics

242

(1)

Unit One Proper Body Mechanics

243

(5)

Establishing Body Alignment

243

(1)

Maintaining Proper Body Alignment

244

(1)

Using Coordinated Movements

245

(1)

Using Basic Priciples

245

(3)

Unit Two Moving and Turning Clients

248

(13)

Turning to Side-Lying Position

250

(1)

Turning to a Prone Position

250

(1)

Moving the Client Up in Bed

251

(1)

Moving the Client with Assistance

252

(1)

Preparing to Move the Client from Bed

253

(1)

Dangling at the Bedside

253

(2)

Moving from Bed to Chair

255

(1)

Using a Hoyer Lift

256

(1)

Logrolling the Client

257

(1)

Using a Footboard

258

(1)

Placing a Trochanter Roll

259

(2)

CHAPTER 13 EXERCISE AND AMBULATION

261

(28)

Rehabilitation Concepts

263

(1)

Musculoskeletal System

263

(1)

Muscle Function

263

(1)

Joint Movements

264

(1)

Joints

264

(1)

Exercise

264

(1)

Ambulation

265

(1)

Crutches

266

(1)

Unit One Range of Motion

267

(7)

Performing Passive Range of Motion

267

(4)

Using Continuous Passive Motion Machine

271

(1)

Teaching Active Range of Motion

272

(2)

Unit Two Ambulation

274

(6)

Ambulating with Two Assistants

274

(1)

Ambulating with One Assistant

275

(2)

Ambulating with a Walker

277

(1)

Ambulating with a Cane

277

(3)

Unit Three Crutch Walking

280

(9)

Teaching Muscle-Strengthening Exercises

280

(1)

Measuring Client for Crutches

281

(1)

Teaching Crutch Walking: Four-Point Gait

282

(1)

Teaching Crutch Walking: Three-Point Gait

282

(1)

Teaching Crutch Walking: Two-Point Gait

283

(1)

Teaching Swing-To Gait and Swing-Through Gait

284

(1)

Teaching Upstairs and Downstairs Ambulation with Crutches

284

(5)

CHAPTER 14. BASIC PHYSICAL ASSESSMENT

289

(34)

Assessment Techniques

290

(1)

Equipment

290

(1)

Health History

290

(1)

Neurologic Assessment

291

(6)

Assessment of the Head and Neck

297

(4)

Assessment of the Skin

301

(3)

Assessment of the Chest: Lungs, Breast and Heart

304

(7)

Assessment of the Abdomen and Genitourinary Tract

311

(4)

Mental-Spiritual Assessment

315

(1)

Mental Status Assessment

315

(8)

CHAPTER 15. INFECTION CONTROL

323

(30)

Infection Control

326

(1)

Chain of Infection

326

(1)

Barriers to Infection

327

(1)

The Body's Natural Defenses

327

(1)

Conditions Predisposing to Infection

327

(2)

Surgical Wounds

328

(1)

Antibacterial Immune Mechanisms

328

(1)

Respiratory Tract

328

(1)

Genitourinary Tract

328

(1)

Invasive Devices

328

(1)

Venipuncture Sites

329

(1)

Total Parenteral Nutritional Therapy

329

(1)

Implanted Prosthetic Devices

329

(1)

Isolation Procedures

329

(5)

Isolation Fundamentals

333

(1)

Standard Precautions

333

(1)

Acquired Immunedeficiency Syndrome

334

(1)

Epidemiology and Modes of Transmission

334

(1)

Definitions

334

(1)

Other Infectious Diseases

334

(3)

Tuberculosis

334

(1)

Hepatitis B

335

(2)

Unit One Basic Medical Asepis

337

(4)

Handwashing (Medical Asepsis)

337

(2)

Cleaning Washable Articles

339

(1)

Donning and Removing Clean Gloves

339

(2)

Unit Two Isolation

341

(7)

Preparing for Isolation

341

(1)

Putting On and Removing a Gown

342

(2)

Using a Mask

344

(1)

Assessing Vital Signs

344

(1)

Removing Items from Isolation Room

345

(1)

Removing a Specimen from Isolation Room

346

(1)

Transporting Isolation Client Outside the Room

346

(1)

Removing Soiled Large Equipment from Isolation Room

346

(2)

Unit Three Standard Precautions

348

(5)

Caring for Isolation Clients

348

(5)

CHAPTER 16. MEDICATION ADMINISTRATION

353

(62)

Therapeutic Agents

355

(1)

Drug Metabolism

355

(1)

Routes for Absorption

355

(1)

Transportation

355

(1)

Biotransformation

356

(1)

Excretion

356

(1)

Factors That Affect Drug Metabolism

356

(1)

Drug Administration

356

(3)

Source and Naming of Drugs

356

(1)

Safety Procedures

356

(1)

Documenting the Medication

357

(2)

Unit One Drug Administration

359

(8)

Preparing for Drug Administration

359

(2)

Converting Medications

361

(1)

Calculating Dosages

361

(1)

Using Unit Dose System

361

(3)

Using Narcotic Control System

364

(3)

Unit Two Oral Medications

367

(4)

Preparing Oral Medications

367

(1)

Administering Oral Medications to Adults

368

(1)

Administering Oral Medications to Children

369

(2)

Unit Three Sublingual Medications

371

(2)

Administering Sublingual Medications

371

(2)

Unit Four Parenteral Medications

373

(19)

Preparing Injections

374

(3)

Administering Intradermal Injections

377

(1)

Administering Subcutaneous (Sub Q) Injections

378

(2)

Preparing Insulin Injections

380

(1)

for One Insulin Solution

380

(2)

for Two Insulin Solutions

382

(1)

Teaching Use of Insulin Pump

383

(1)

Administering Sub Q Heparin

384

(1)

Administering Intramuscular (IM) Injections

385

(4)

Using Z-Track Method

389

(3)

Unit Five Topical Medications

392

(4)

Applying Dermal Ointments and Slaves

392

(1)

Applying Ointment to Burns

393

(1)

Applying Transdermal Medications

393

(3)

Unit Six Eye Medications

396

(3)

Instilling Eye Drops

396

(1)

Administering Eye Ointment

397

(2)

Unit Seven Ear Medications

399

(2)

Administering Ear Medications

399

(2)

Unit Eight Respiratory Medications

401

(4)

Administering Respiratory Medications

401

(1)

Instilling Nose Drops

402

(1)

Administering Metered-Dose Inhaled Drugs

403

(1)

Using Spacer for Aerosol Therapy

404

(1)

Unit Nine Suppository Medications

405

(3)

Inserting Rectal Suppositories

405

(1)

Inserting Vaginal Suppositories

406

(2)

Unit Ten Irrigations

408

(4)

Irrigating the Eye

408

(1)

Irrigating the Ear

409

(1)

Irrigating the Throat

409

(2)

Drug Supplement

411

(1)

Appendix 16-1. Abbreviations and Symbols of Orders, Prescriptions and Labels

412

(1)

Appendix 16-2. Conversion Tables

412

(3)

CHAPTER 17. PAIN MANAGEMENT

415

(24)

Coping with Pain

417

(3)

Theories of Pain

418

(1)

The Discovery of Endorphins

419

(1)

The Pain Experience

419

(1)

Pain Pathways

420

(1)

Noninvasive Pain Relief

420

(2)

The Nurse's Role

420

(2)

Techniques for Pain Control

422

(1)

Patient-Controlled Analgesia (PCA)

422

(1)

Epidural Pain Control

422

(1)

Direct IV Pain Control

422

(1)

Unit One Pain Relief

423

(6)

Alleviating Pain through Touch

424

(1)

Using Relaxation Techniques

424

(1)

Using Transcutaneous Electric Nerve Stimulation (TENS)

424

(2)

Administering Epidural Narcotic Analgesia

426

(1)

for Bolus Injection

426

(1)

for Continuous Injection

427

(2)

Unit Two Patient-Controlled Analgesia (PCA)

429

(10)

Qualifying Client for PCA

429

(1)

Administering PCA

430

(3)

Changing Dose Volume

433

(1)

Changing Lockout Interval

433

(1)

Changing 4-Hour Limit

433

(1)

Terminating a PCA Infusion

434

(1)

Teaching PCA to a Client

434

(5)

CHAPTER 18. NUTRITIONAL MANAGEMENT

439

(28)

Essential Nutrients

441

(2)

Carbohydrates

441

(1)

Fats

442

(1)

Proteins

442

(1)

Water

443

(1)

Vitamins

443

(1)

Minerals

443

(1)

Assimilation of Nutrients

443

(1)

Gastrointestinal Tract

444

(1)

The Accessory Organs

444

(1)

Normal and Therapeutic Nutrition

444

(4)

Nutritional Problems in the Hospital

445

(1)

Therapeutic Management

446

(2)

Unit One Nutrition Maintenance

448

(3)

Serving a Food Tray

448

(1)

Feeding a Client

449

(2)

Unit Two Therapeutic Diets

451

(6)

Providing Therapeutic Diets

451

(1)

Carbohydrate Control

451

(1)

Protein Control

451

(1)

Fat Control

452

(1)

Renal Disease

452

(1)

Vitamin Control

453

(1)

Mineral Control

453

(1)

Fiber Control

454

(1)

Bland Food Diets

454

(1)

Calorie Control

454

(1)

Pre- and Postoperative Diets

454

(1)

Mechanical Soft Diet

455

(1)

Pureed Diet

455

(2)

Unit Three Nutrients via Tube Feeding

457

(10)

Inserting a Nasogastric Tube

458

(2)

Irrigating a Nasogastric Tube

460

(1)

Collecting a Gastric Specimen from a Nasogastric Tube

461

(1)

Removing a Nasogastric Tube

461

(1)

Giving an Intermittent Nasogastric Feeding

461

(1)

Feeding via Continuous Nasogastric Method

462

(1)

Giving a Gastrostomy Feeding

463

(1)

Inserting a Small-Bore Feeding Tube (KEOFEED, DUBBHOFF, MOSS)

464

(3)

CHAPTER 19. SPECIMEN COLLECTION

467

(30)

Laboratory Tests

469

(3)

Nursing Responsibility

469

(1)

Urine Tests

469

(1)

Blood Tests

470

(1)

Cultures

470

(2)

Unit One Urine Specimens

472

(3)

Collecting Midstream Urine

472

(1)

Collecting 24-Hour Urine Specimen

473

(2)

Unit Two Infant Urine Specimen

475

(2)

Collecting a Specimen from an Infant

475

(2)

Unit Three Stool Specimens

477

(5)

Collecting Adult Stool Specimen

477

(1)

Collecting Stool to Test for Parasties

478

(1)

Collecting Infant Stool Specimen

478

(1)

Testing for Occult Blood

479

(1)

Gamma Fe-Cult Plus

479

(1)

Hemoccult

479

(1)

Collecting Stool for Bacterial Culture

480

(1)

Testing for Pinworms

480

(2)

Unit Four Venous Blood Specimens

482

(8)

Withdrawing Blood

482

(1)

Using Vacutainer System

483

(1)

Collecting a Specimen for Culture

484

(1)

Obtaining Blood Specimen for Glucose Testing

485

(1)

Measuring Blood Glucose Using Chemstrip

486

(1)

Measuring Blood Glucose Using Accu-Check or Glucometer

486

(1)

Accu-Chek Machine

487

(1)

Glucometer Machine

487

(1)

Measuring Blood Glucose Using Lifescan One-Touch II

487

(3)

Unit Five Sputum Collection

490

(3)

Obtaining Sputum Specimen

490

(1)

Using Suction Trap

491

(1)

Collecting Specimen by Transtracheal Aspiration

491

(2)

Unit Six Throat and Wound Specimens for Culture

493

(4)

Obtaining a Throat Specimen

493

(1)

Obtaining Aerobic Culture

494

(1)

Obtaining Anaerobic Culture

495

(2)

CHAPTER 20. DIAGNOSTIC TESTS

497

(30)

Preparation

499

(3)

Contrast Media Studies

499

(1)

Ultrasound Studies

500

(1)

Nuclear Imaging Studies

500

(1)

Magnetic Resonance Imaging (MRI)

500

(1)

Assisting the Physician during Tests

500

(2)

Unit One Contrast Media Studies

502

(6)

Preparing for Contrast Media Studies

503

(1)

Procedure for Oral Cholecystogram

503

(1)

Procedure for Intravenous Cholangiogram

504

(1)

Procedure for Intravenous Pyelogram

504

(1)

Procedure for Myelogram

504

(1)

Procedure for Arteriogram

505

(1)

Procedure for Computerized Axial Tomography (CAT Scan)

505

(1)

Procedure for Cardiac Catheterization

506

(2)

Unit Two Nuclear Imaging

508

(4)

Preparing for Nuclear Scan

509

(1)

Procedure for Bone Scan

509

(1)

Procedure for Lung Scan

509

(1)

Procedure for Brain Scan

509

(1)

Procedure for Nuclear Cardiography

510

(1)

Procedure for Adrenal Scan

510

(1)

Procedure for Thyroid Scan

510

(1)

Teaching for Nuclear Scan

510

(2)

Unit Three Barium Studies

512

(3)

Preparing for Barium Studies

512

(1)

Procedure for Barium Enema

513

(1)

Procedure for Upper Gastrointestinal Study

513

(2)

Unit Four Diagnostic Procedures

515

(12)

Assisting with Lumbar Puncture

516

(1)

Assisting with Liver Biopsy

517

(1)

Assisting with Thoracentesis

518

(1)

Assisting with Paracentesis

519

(1)

Assisting with Bone Marrow Aspiration

520

(1)

Assisting with Vaginal Examination and Papanicolaou (Pap) Smear

520

(1)

Assisting with Proctoscopy

520

(1)

Assisting with Fiberoptic Colonoscopy

521

(1)

Assisting with Gastroscopy-Endoscopy

522

(1)

Assisting with Cystoscopy

522

(1)

Assisting with Bronchoscopy

523

(1)

Assisting with Amniocentesis

524

(1)

Assisting with Magnetic Resonance Imaging (MRI)

524

(3)

CHAPTER 21. URINARY ELIMINATION

527

(64)

Urinary System

529

(2)

Urine Production

529

(1)

Micturation

530

(1)

Alterations in Urinary Elimination

531

(1)

Alterations Related to Fluids

531

(1)

Alterations Related to Obstructions

531

(1)

Alterations Related to Secretion of the Antidiuretic Hormone (ADH)

531

(1)

Alterations Related to Changes in Blood Volume

531

(1)

Nursing Interventions

531

(2)

Unit One Intake and Output

533

(3)

Measuring Intake and Output

533

(3)

Unit Two Urine Studies

536

(6)

Monitoring Specific Gravity with Urinometer

536

(1)

Monitoring Specific Gravity with Spectrometer

537

(1)

Determining Urine Glucose with Tape

537

(1)

Measuring Urine Glucose

538

(1)

Measuring Urine Ketone Bodies

539

(3)

Unit Three Catheterization

542

(13)

Draping a Female Client

543

(1)

Inserting a Straight Catheter (Female)

543

(2)

Inserting a Straight Catheter (Male)

545

(1)

Inserting a Retention Catheter (Female)

546

(4)

Inserting a Retention Catheter (Male)

550

(1)

Providing Catheter Care

551

(1)

Removing a Retention Catheter

552

(3)

Unit Four External Catheter System

555

(3)

Applying a Condom Catheter

555

(1)

Attaching Catheter to Leg Bag

556

(2)

Unit Five Suprapubic Catheter Care

558

(3)

Providing Suprapubic Catheter Care

558

(3)

Unit Six Bladder Irrigation and Instillation

561

(6)

Irrigating by Opening a Closed System

561

(2)

Irrigating a Closed System

563

(1)

Instilling Medications

563

(1)

Maintaining Continuous Irrigation

564

(3)

Unit Seven Specimens from Closed Systems

567

(2)

Collecting Specimen from a Closed System

567

(2)

Unit Eight Urinary Diversion

569

(6)

Applying a Urinary Diversion Pouch

569

(3)

Obtaining Specimen from an Ileal Conduit

572

(1)

Emptying Continent Ileostomy

573

(2)

Unit Nine Peritoneal Dialysis

575

(6)

Assisting with Catheter Insertion

576

(1)

Managing Peritoneal Dialysis

576

(1)

Maintaining Peritoneal Dialysis

577

(1)

Providing Cathether Site Care

578

(3)

Unit Ten Hemodialysis

581

(10)

Initiating Hemodialysis

582

(2)

Managing Hemodialysis

584

(1)

Terminating Hemodialysis

585

(1)

Maintaining Central Venous Dual-Lumen Catheters

586

(2)

Flushing Permanent Dual-Lumen Catheter with Heparin

588

(3)

CHAPTER 22. BOWEL ELIMINATION

591

(40)

Anatomy and Physiology

593

(1)

Defecation

594

(1)

Alteration in Elimination

595

(4)

Changes in Motility

595

(1)

Obstruction of the Lumen of the Bowel

595

(1)

Circulatory Deficiencies

596

(1)

Surgically Induced Alterations in the Structure of the Bowel

596

(3)

Unit One Rectal Tube Insertion

599

(3)

Inserting a Rectal Tube

599

(3)

Unit Two Bowel Evacuation

602

(4)

Removing a Fecal Impaction

602

(1)

Providing Digital Stimulation

603

(1)

Developing a Regular Bowel Routine

604

(1)

Administering a Suppository

604

(2)

Unit Three Enema Administration

606

(7)

Administering an Enema

606

(3)

Administering an Enema to a Child

609

(1)

Administering a Disposable Enema (Fleet's)

610

(1)

Administering a Retention Enema

610

(1)

Administering a Harris Flush Enema

611

(2)

Unit Four Colostomy Irrigations

613

(6)

Performing a Colostomy Irrigation

613

(3)

Performing Irrigation in Bed

616

(3)

Unit Five Fecal Ostomy Pouch Application

619

(6)

Applying a Fecal Ostomy Pouch

619

(6)

Unit Six Intestinal Tube Insertion

625

(6)

Assisting in Intestinal Tube Insertion

625

(2)

Removing an Intestinal Tube

627

(4)

CHAPTER 23. HEAT AND COLD THERAPY

631

(26)

Temperature Control

633

(2)

Adjustment Control

633

(2)

Conditions That Affect Adaptive Processes

634

(1)

Therapeutic-Effects of Heat

635

(1)

Therapeutic Effects of Cold

635

(2)

Unit One Moist Heat

637

(5)

Applying Hot Moist Pack

637

(1)

Applying Hot Sterile Moist Compress

638

(2)

Providing a Sitz Bath

640

(2)

Unit Two Warm Dry Heat

642

(5)

Using a Commercial Heat Pack

642

(1)

Using a Heat Cradle

643

(1)

Using the Infant Radiant Warmer

643

(1)

Applying an Aquathermic Pad

644

(3)

Unit Three Cold Applications

647

(4)

Providing a Tepid Bath

647

(1)

Using Ice Application

648

(1)

Using Instant Cold Pack

649

(2)

Unit Four Hypothermia Blanket

651

(6)

Using a Cooling Blanket

651

(6)

CHAPTER 24. WOUND CARE AND DRESSINGS

657

(40)

Wound Healing

659

(1)

Inflammatory Phase

659

(1)

Proliferative, or Granulation, Phase

659

(1)

Motivation, or Would-Remodeling, Phase

659

(1)

Types of Wound Healing

660

(1)

Primary Intention

660

(1)

Secondary Intention

660

(1)

Tertiary Intention

660

(1)

Major Factors Affecting Wound Healing

660

(1)

Nutrition

660

(1)

General Physical Health

660

(1)

Medications

660

(1)

Goals of Wound Care

660

(1)

Wound Infections

661

(1)

Complications Associated with Wound Healing

661

(1)

Wound Specimens for Culture

661

(1)

Pressure Ulcers

661

(2)

Unit One Measures to Prevent Infection

663

(6)

Completing a Surgical Hand Scrub

663

(1)

Using Sterile Gloves

664

(1)

Pouring from a Sterile Container

665

(1)

Preparing a Sterile Field

666

(1)

Preparing a Sterile Field Using Prepackaged Supplies

667

(2)

Unit Two Dressing Change

669

(5)

Changing a Dry Sterile Dressing

669

(2)

Removing Sutures

671

(1)

Removing Staples

671

(3)

Unit Three Wound Care

674

(12)

Changing a Wound Dressing

675

(2)

Changing a Dressing for Peripheral Vascular Wound

677

(2)

Caring for a Wound with a Drain

679

(2)

Applying an Abdominal Binder

681

(1)

Maintaining Wound Drainage System

682

(1)

Irrigating Wounds

683

(3)

Unit Four Wet-to-Damp Dressings

686

(3)

Applying Wet-to-Damp Dressings

686

(3)

Unit Five Pressure Ulcers

689

(8)

Applying Transparent Adhesive Film Dressing

691

(4)

Using Hydrocolloid Dressing

695

(2)

CHAPTER 25. RESPIRATORY CARE

697

(66)

The Respiratory System

699

(1)

The Respiratory Cycle

700

(1)

Alterations in Respiration

700

(1)

Alterations in Ventilation

700

(1)

Alterations in Diffusion

701

(1)

Alterations in Perfusion

701

(1)

Assessment of Respiratory Function

701

(2)

Nursing Interventions

701

(2)

Unit One Deep Breathing Exercises

703

(4)

Instructing Clients to Deep Breathe

703

(1)

Instructing Clients to Cough

704

(1)

Teaching Diaphragmatic Breathing

705

(1)

Using Incentive Spirometers

705

(2)

Unit Two Chest Physiotherapy (CPT)

707

(5)

Preparing Client for CPT

707

(1)

Performing Percussion

708

(1)

Performing Vibration

709

(1)

Performing Postural Drainage

710

(2)

Unit Three Oxygen Therapy

712

(10)

Monitoring Clients Receiving Oxygen Therapy

712

(2)

Using an Oxygen Cylinder

714

(1)

Using Pulse Oximetry

715

(1)

Using an Oxygen Analyzer

716

(1)

Using a Nasal Cannula

716

(1)

Using an Oxygen Face Mask

717

(1)

Using a Pediatric Oxygen Mask

718

(1)

Using a Pediatric Oxygen Tent

719

(1)

Using an Oxygen Hood

719

(3)

Unit Four Suctioning

722

(7)

Suctioning Using Separate Catheter and Glove

722

(2)

Suctioning Using Catheter and Sleeve

724

(1)

Suctioning with In-line Catheter

725

(1)

Suctioning Infants with Bulb Syringe

726

(3)

Unit Five Intermittent Positive Pressure Breathing (IPPB)

729

(5)

Setting up the Puritan-Bennett PR 2

729

(1)

Administering a Nebulized Treatment

730

(1)

Administering Medication by Nebulization

731

(3)

Unit Six Tracheostomy Care

734

(12)

Cleaning the Inner Cannula

735

(2)

Changing Trach Ties

737

(1)

Performing Tracheostomy Suctioning

738

(3)

Using a Manual Resuscitator

741

(1)

Plugging a Tracheostomy

742

(1)

Deflating a Tracheal Cuff

743

(1)

Inflating a Tracheal Cuff

743

(3)

Unit Seven Water-Seal Drainage Systems

746

(9)

Maintaining a Three-Bottle System

746

(2)

Setting Up and Maintaining Disposable Water-Seal System

748

(3)

Assisting with Removal of Chest Tubes

751

(1)

Obtaining Chest Drainage Specimen

752

(1)

Administering Blood Through Autotransfusion Using the Pleur-evac ATS

752

(3)

Unit Eight Intubation

755

(4)

Inserting an Oropharyngeal Airway

755

(1)

Inserting a Nasopharyngeal Airway

756

(1)

Assisting with Endotracheal Intubation

756

(1)

Measuring Cuff Pressure

757

(1)

Providing Care for Client with an Endotracheal Tube

757

(2)

Unit Nine Tracheostomy Intubation

759

(4)

Assisting with Tracheostomy Intubation

759

(4)

CHAPTER 26. CIRCULATORY MAINTENANCE

763

(30)

The Circulatory System

765

(1)

Electrical Conduction

766

(1)

Alterations in Circulation

766

(2)

Hemorrhage

767

(1)

Shock

767

(1)

Pump Failure

767

(1)

Ischemia

768

(1)

Thrombosis and Embolism

768

(1)

Altered Circulation

768

(2)

Assessment

768

(1)

Planning and Intervention

769

(1)

Unit One Control of Bleeding

770

(3)

Using Digital Pressure

770

(1)

Using Pressure Dressing

771

(2)

Unit Two Circulatory Maintenance

773

(5)

Applying Elastic Hosiery

775

(1)

Applying Sequential Compression Devices

775

(3)

Unit Three Electrocardiogram (ECG) Monitoring

778

(6)

Monitoring the ECG

778

(2)

Interpreting an ECG Strip

780

(4)

Unit Four Emergency Life Support Measures

784

(9)

Administering Basic Life Support to an Adult

784

(4)

Administering CPR to a Child

788

(1)

Administering the Heimlich Maneuver for Conscious Client

789

(1)

Administering the Heimlich Maneuver for Unconscious Client

789

(1)

Providing Care Following Code

790

(3)

CHAPTER 27. INTRAVENOUS THERAPY

793

(48)

Fluids and Electrolytes

795

(3)

Fluids

795

(1)

Electrolytes

796

(1)

Alterations

796

(2)

Unit One Intravenous Therapy

798

(10)

Preparing IV System

798

(3)

Preparing IV Site

801

(2)

Inserting a Winged-Tip Needle

803

(1)

Inserting an Over-the-Needle Catheter

804

(4)

Unit Two IV Management

808

(12)

Regulating IV Flow Rate

808

(2)

Using an IV Controller

810

(1)

Using an IV Pump

811

(1)

Using a Syringe Pump

812

(2)

Managing IV Site

814

(1)

Changing IV Dressing

815

(1)

Changing Gown for Client with IV

816

(1)

Discontinuing an IV

817

(3)

Unit Three Intake and Output

820

(5)

Monitoring Intake and Output

820

(3)

Monitoring IV Intake

823

(2)

Unit Four IV Medication Administration

825

(7)

Adding Medication to IV Solution

825

(1)

Using a Secondary or Partial-Fill Additive Bag (IV Piggyback)

826

(1)

Using a Volume Control Set

827

(2)

Using a Peripheral Saline Lock

829

(1)

Administering Medications through IV Line Y-Site

829

(3)

Unit Five Blood Transfusions

832

(9)

Administering Blood through a Y-Set

832

(2)

Administering Blood through a Straight Line

834

(2)

Monitoring for Potential Complications

836

(1)

Administering Blood Components

836

(5)

CHAPTER 28. VASCULAR ACCESS DEVICES

841

(42)

Vascular Access Devices

843

(1)

Total Parenteral Nutrition

843

(1)

Peripheral Insertion of a Central Venous Catheter (PICC)

844

(1)

Unit One Untunneled Central Venous Catheters

845

(7)

Assisting with Central Venous Catheterization

845

(1)

Changing a Central Venous Catheter Dressing

846

(2)

Measuring and Monitoring CVP

848

(4)

Unit Two Total Parenteral Nutrition

852

(8)

Assisting with Catheter Insertion

853

(2)

Maintaining Central Vein Infusions

855

(1)

Changing Parenteral Hyperalimentation Dressing and Tubing

856

(2)

Maintaining Hyperalimentation for Children

858

(2)

Unit Three Intralipid Therapy

860

(3)

Infusing IV Lipids

860

(3)

Unit Four Tunneled Vascular Access Devices (VADs)

863

(9)

Maintaining the Hickman or Broviac CV Catheter

863

(1)

Changing the Hickman or Broviac CV Catheter Dressing

864

(1)

Drawing Blood from a CV Catheter

865

(1)

Maintaining the Groshong CV Catheter

866

(2)

Changing the Groshong CV Catheter

868

(1)

Drawing Blood from the Groshong CV Catheter

868

(4)

Unit Five Implanted Subcutaneous Infusion Port

872

(6)

Accessing and Flushing an Implanted Infusion Port Using a Huber Needle

872

(2)

Administering IV Drugs via an Implanted Infusion Port

874

(1)

Administering Solutions or Drugs via Continuous Infusion

874

(1)

Drawing Blood from an Implanted Port

875

(3)

Unit Six Peripherally Inserted Central Cathether (PICC)

878

(5)

Maintaining the PICC

879

(1)

Changing the PICC Dressing

879

(2)

Drawing Blood from the PICC

881

(2)

CHAPTER 29. ORTHOPEDIC MEASURES

883

(44)

Restoring Function

885

(1)

Fractures

885

(1)

Types of Fracture

886

(3)

Traction

886

(1)

Special Beds

887

(2)

Unit One Bandage Application

889

(4)

Applying a Sling

889

(1)

Applying a Circular Bandage

890

(1)

Applying a Spiral Bandage

890

(1)

Applying a Figure-Eight Bandage

891

(2)

Unit Two Splinting a Fracture

893

(2)

Applying a Splint

893

(1)

Applying an Air Splint

894

(1)

Unit Three Cast Care

895

(4)

Caring for a Wet Cast

896

(1)

Assessing a Casted Extremity

896

(1)

Instructing in Care of a Synthetic Cast

897

(2)

Unit Four Traction

899

(6)

Monitoring Skin Traction

899

(3)

Monitoring Skeletal Traction

902

(3)

Unit Five Halo Traction and Back Brace

905

(3)

Placing a Jewett-Taylor Back Brace

905

(1)

Monitoring Halo Traction

906

(2)

Unit Six Clients with Amputated Limbs

908

(3)

Positioning and Exercising

908

(1)

Applying a Shrink Bandage

909

(2)

Unit Seven Nelson Bed

911

(5)

Using a Nelson Bed

911

(1)

Moving to Chair Position

912

(1)

Moving to Contour Position

913

(1)

Tilting Bed to Vertical Position

913

(1)

Tilting Bed to Trendelenburg's Position

914

(2)

Unit Eight Stryker Frame

916

(5)

Using a Stryker Wedge Turning Frame

916

(1)

Turning from Supine to Prone

917

(1)

Using a Stryker Parallel Frame

918

(1)

Assisting Client with Bedpan

918

(1)

Attaching Fixed Traction

919

(1)

Attaching Skeletal Traction

919

(2)

Unit Nine CircOlectric Bed

921

(6)

Preparing to Operate Bed

921

(1)

Placing Ambulatory Client on Bed

922

(1)

Placing Nonambulatory Client on Bed

922

(1)

Turning from Supine to Prone

922

(2)

Assisting with Bedpan

924

(3)

CHAPTER 30. OPERATIVE CARE

927

(32)

Nurse's Role

929

(1)

Perioperative Stages

929

(1)

Preoperative Anxiety

929

(3)

Unit One Stress in Preoperative Clients

932

(4)

Preventing Anxiety and Stress

932

(1)

Reducing Anxiety and Stress

933

(1)

Assisting the Client Who Uses Denial

934

(2)

Unit Two Preoperative Teaching

936

(8)

Providing Surgical Information

937

(1)

for the Preoperative Client

937

(1)

for the Intraoperative Client

937

(1)

for the Postoperative Client

937

(1)

Providing Client Teaching

937

(1)

Providing Family Teaching

938

(1)

Providing Teaching for Laser Therapy

938

(2)

Providing Teaching for Lithotripsy

940

(1)

Instructing in Deep Breathing Exercises

940

(1)

Instructing in Coughing Exercises

941

(1)

Providing Instruction to Turn in Bed

942

(1)

Instructing in Leg Exercises

942

(2)

Unit Three Preoperative Care

944

(7)

Obtaining Baseline Data

945

(1)

Preparing the Surgical Site

945

(2)

Preparing the Client for Surgery

947

(2)

Administering Preoperative Medications

949

(2)

Unit Four Recovery Room Care and Discharge

951

(4)

Providing Recovery Room Care

951

(2)

Discharging Client from Recovery Room

953

(2)

Unit Five Postoperative Care

955

(4)

Providing Postoperative Care

955

(1)

Administering Postoperative Medications

956

(3)

CHAPTER 31. CLIENT EDUCATION AND DISCHARGE PLANNING

959

(18)

Client Education

961

(1)

Readiness to Learn

961

(1)

Resistance to Change

961

(1)

Student Nurse's Role in Client Education

962

(1)

Discharge Planning

962

(3)

Unit One Client Education

965

(7)

Collecting Data

966

(1)

Determining Readiness to Learn

967

(1)

Identifying Learning Needs

967

(1)

Determining Appropriate Teaching Strategy

967

(1)

Selecting the Educational Setting

968

(1)

Implementing the Teaching Strategy

969

(1)

Developing an Evaluation Tool

970

(2)

Unit Two Discharge Planning

972

(5)

Preparing a Client for Discharge

972

(1)

Completing a Discharge Summary

973

(4)

CHAPTER 32. CARE OF THE DYING CLIENT

977

(14)

Loss and Grieving

978

(1)

Stages of Grief

978

(1)

Stages of Dying

979

(2)

Unit One The Grief Process

981

(3)

Understanding Grief

982

(1)

Assisting with Grief

982

(2)

Unit Two The Dying Client

984

(4)

Assisting the Dying Client

985

(3)

Unit Three Postmortem Care

988

(3)

Providing Postmortem Care

988

(3)

CHAPTER 33. ADVANCED SKILLS IN NURSING PRACTICE

991

(50)

Advanced Skills in Nursing Practice

993

(2)

Unit One Cardiac Emergencies

995

(8)

Using the Emergency Cart

996

(1)

Contents of Typical Emergency Cart

996

(2)

Performing Defibrillation

998

(2)

Assisting with Synchronized Elective Cardioversion

1000

(3)

Unit Two Pacemaker Management

1003

(6)

Pacemaker

1003

(1)

Transvenous

1003

(1)

Transthoracic

1004

(1)

Assisting with Pacemaker Insertion

1004

(2)

Maintaining Temporary Pacemaker Function

1006

(1)

Providing Client Teaching

1007

(2)

Unit Three Arterial Lines

1009

(9)

Arterial Line Monitoring

1009

(1)

Blood Gas Analysis

1010

(1)

Performing Allen's Test

1011

(1)

Assisting with Arterial Line Insertion

1012

(1)

Maintaining Arterial Line Function

1013

(1)

Withdrawing Arterial Blood Samples

1014

(2)

Removing Arterial Line

1016

(2)

Unit Four Hemodynamic Monitoring Using a Pulmonary Artery Catheter

1018

(9)

Assisting Physician with Insertion

1020

(3)

Obtaining Pressure Readings

1023

(1)

Obtaining Cardiac Output Measurements

1024

(1)

Balancing the Transducer

1024

(1)

Calibrating the Monitor and Transducer

1025

(1)

Balancing and Calibrating the Oscilloscope

1025

(2)

Unit Five Mechanical Ventilation

1027

(10)

Ventilation and Gas Exchange Alterations

1027

(2)

Caring for Clients on Ventilators

1029

(2)

Providing Positive End-Expiratory Pressure (PEEP)

1031

(1)

Providing Continuous Positive Airway Pressure (CPAP)

1032

(5)

Unit Six Ventilator Weaning Process

1037

(4)

Weaning Long-Term Ventilated Client (T-Tube Trial)

1037

(4)

CHAPTER 34. HOME CARE MANAGEMENT

1041

(44)

Introduction

1042

(3)

Home Care Definition

1042

(1)

Home Health Team

1043

(1)

Referral to Home Care

1043

(1)

Transition from Hospital to Home

1044

(1)

Client Teaching

1044

(1)

Adapting Care to the Home Setting

1044

(1)

Admission to Home Care

1045

(1)

Plan of Treatment

1045

(1)

Documentation

1045

(1)

Unit One Admission to Home Care

1045

(7)

Identifying Eligibility for Medicare Reimbursement

1049

(1)

Assessing Home for State Environment

1050

(2)

Unit Two Infection Control

1052

(6)

Preparing for Client Care

1052

(1)

Disposing of Waste Materials in the Home Setting

1053

(1)

Cleansing Thermometer

1054

(1)

Caring for an AIDS or HIV Client in the Home

1054

(1)

Cleansing Equipment in the Home Setting

1055

(1)

Teaching Preventive Measures in the Home

1055

(2)

Teaching Safer Practices to IV Drug Users

1057

(1)

Unit Three Body Mechanics

1058

(2)

Positioning Nonhospital Bed for Client Care

1059

(1)

Moving a Helpless Client Up in the Bed Without Assistance

1059

(1)

Unit Four Hygienic Care

1060

(5)

Bathing

1060

(1)

Skin Care

1060

(1)

Pressure Ulcer Care

1060

(1)

Hair Care

1060

(2)

Bathing Client in the Home

1062

(1)

Transferring Client to Tub or Shower

1062

(1)

Adapting Bedmaking to the Home

1063

(1)

Providing Pressure Ulcer Care

1063

(1)

Preparing Normal Saline

1063

(1)

Removing Lice

1064

(1)

Unit Five Medications

1065

(3)

Administering Medications

1066

(1)

Sterilizing Nondisposable Medications Equipment

1067

(1)

Unit Six Total Parenteral Nutrition

1068

(3)

Nutrition

1068

(2)

Administering Total Parenteral Nutrition in the Home

1070

(1)

Discontinuing TPN Infusion

1070

(1)

Unit Seven Urinary Elimination

1071

(4)

Using Clean Technique for Intermittent Self-Catheterization

1072

(1)

for Female Client

1072

(1)

for Male Client

1073

(1)

Administering Chronic Ambulatory Peritoneal Dialysis (CAPD)

1073

(1)

Changing Dressing for CAPD Client

1074

(1)

Unit Eight Respiratory Care

1075

(6)

Caring for Oxygen Equipment

1077

(1)

Teaching Safety Measure for Oxygen Use

1077

(1)

Managing Ventilaltor Equipment

1077

(1)

Providing Catheter Care for Transtrachael Catheter

1078

(1)

for Heimlich Micro-Trach

1078

(1)

for Spofford Christopher Oxygen Optimizing Prosthesis (SCOOP) 1 Catheter

1079

(1)

for SCOOP 2 Catheter

1079

(1)

Teaching the Client Catheter Care

1079

(2)

Unit Nine Circulatory Care

1081

(4)

Monitoring Pacemaker at Home

1082

(1)

Checking with Pacemaker Clinic via Telephone

1083

(1)

Instructing Client in Use of Holter Monitor

1083

(2)

Bibliography

1085

(8)

Index

1093

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Clinical Nursing Skills : Basic to Advanced Skills

Clinical Nursing Skills : Basic to Advanced Skills

9780838513897

0838513891

Summary

Table of Contents

Supplemental Materials

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Amazon no longer offers textbook rentals. We do!

Clinical Nursing Skills : Basic to Advanced Skills

Clinical Nursing Skills : Basic to Advanced Skills

9780838513897

0838513891

Summary

Table of Contents

Supplemental Materials

Write a Review

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